To extract the operative specimen, inserted into an endobag
, the median incision is used, pulling gently with circular movements.
The entire tumor was removed using an endobag
to avoid tumor spillage.
Piyes 11 mm'lik trokar yeri genisletilerek endobag
kullanmadan cikartildi (Sekil 4 ve 5).
The mass was removed from the abdominal cavity, morcellated, and deposited into an endobag
. No macroscopic abnormalities were observed on the peritoneal surface or in other abdominal organs.
Theoretically, a reduction in wound infection rate following laparoscopy may be achieved by extracting the specimen using an Endobag
. Other studies have reported similarly reduced rate in wound infection following laparoscopic appendicectomy.
In our case, after the laparoscopic observation of the absence of suspicious lesions in the abdominal cavity, extraction of the ovary using an endobag
The resected specimen is extracted through the right trocar incision using digital dilatation and without using a specimen endobag
Laparoscopic conservative excision of ovarian dermoid cysts with and without an endobag
. J Am Assoc Gynecol Laparosc 1998;5:165-70.
We decided to try the extraction with Endobag
, a well-known laparoscopic surgical device.
After completely excising the lesion, the specimen was brought out from the anterior port incision, if necessary by enlarging the incision, with the help of an Endobag
(Endo Catch[TM] specimen pouch 15 mm, Covidien Mansfield, MA, USA).
The specimen was immediately placed into an endobag
and removed from the abdomen via the dilated umbilical port.
The hernial sac and larger lipoma where resected and removed using the endobag
. The size of the diaphragmatic defect was measured and the mesh (Proceed Surgical Mesh PCDN1, Ethicon, Cincinnati, USA) was placed covering defect edges by 2-3 cm.