Laparoscopic myomectomy using self-made retrieval bag to contain tissue extraction

An effective assisted method in laparoscopic myomectomy using a self-made retrieval bag to contain tissue extraction, which can avoid the risk of iatrogenic parasitic myoma.

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Volume 113, Issue 3, Pages 679–680

Authors:

Ning-Ning Zhang, M.D., Si-Lei Chen, M.D., Na Zuo, M.D., Tian-Shui Sun, M.D., Qing Yang, Ph.D.

Abstract:

Objective

To introduce an effective approach using a self-made retrieval bag during laparoscopic myomectomy to contain tissue extraction.

Design

Step-by-step video explanation of the surgical procedure with still pictures and surgical video clips to demonstrate the detailed technique, approved by the Shengjing Hospital of China Medical University.

Setting

University hospital.

Patient(s)

A 32-year-old woman diagnosed with a uterine myoma (diameter, 6 cm). She had endured 5 years of intermittent lower abdominal pain and 2 years of infertility.

Intervention(s)

A self-made retrieval bag during laparoscopic myomectomy was used (consists of four steps) to contain tissue extraction. 1. Self-made retrieval bag using a sterile medical bag. 2. Inspect the pelvic cavity, evaluate and determine the location and number of myomas. 3. Resect the myoma. 4. Morcellate the myoma into pieces inside the retrieval bag using laparoscopic power morcellation.

Main Outcome Measure(s)

Value and feasibility of using a self-made retrieval bag in laparoscopic myomectomy.

Result(s)

The myoma was successfully and completely resected by laparoscopy using a self-made retrieval bag to contain tissue extraction. Operative time was 93 minutes. In the follow-up period, the patient did not report any symptom of iatrogenic parasitic myoma. The woman had a pregnancy at month 26 after operation and underwent a cesarean section. This resulted in a full-term baby.

Conclusion(s)

Our surgical approach demonstrated a number of noteworthy advantages. The use of retrieval bag to contain tissue extraction during laparoscopic morcellation can avoid the risk of iatrogenic parasitic myoma. The retrieval bag is self-made using a sterile packing bag, which is cost free and also reduces operative expenses.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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