Obstet Gynecol Sci.  2020 Jul;63(4):548-549. 10.5468/ogs.20025.

Use of a ring retractor to facilitate specimen removal in laparoscopic surgery

Affiliations
  • 1Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea
  • 2Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea

Abstract


Objective
To introduce a new surgical technique for specimen removal during laparoscopic surgery.
Methods
The surgical technique was described, pictured, and recorded. The surgery was performed in a tertiary hospital.
Results
During laparoscopic surgery, the specimen is resected from the surrounding tissues and contained in a specimen bag to prevent spillage. The edges of the bag are then pulled through the trocar site, and the specimen—protected by the bag—is removed. To facilitate the removal process and to prevent spillage, assistants will normally hold the edges of the bag during the process. To mitigate the need for assistants to hold the edges of the bag, we wrapped the pulled edges of the bag around a ring retractor, which is a plastic ring, to straighten the bag. This technique enabled the operator to remove the specimen without needing an assistant.
Conclusion
The technique we describe here, using a ring retractor for specimen removal, is useful when assistants are unavailable to help during laparoscopic surgery.

Keyword

Laparoscopy; Specimen handling; Operative surgical procedure; Endoscopy
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