A Modified Umbilical Incision for Specimen Extraction After Laparoscopic Abdominal Surgery

Casciola, Luciano; Codacci-Pisanelli, Massimo; Ceccarelli, Graziano; Bartoli, Alberto; Zitti, L. Di; Patriti, Alberto

doi:10.1007/s00464-007-9584-2

Cited by 35 publications

(30 citation statements)

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“…A side-to-side jejunojejunal anastomosis is realized in the same manner. The specimen is then removed using a large endocatch introduced through the umbilical port as previously described [16].…”

Section: Partial Gastric Resectionmentioning

confidence: 99%

Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma

et al. 2008

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Section: Partial Gastric Resectionmentioning

confidence: 99%

Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma

et al. 2008

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“…It has been ascertained that the magnification incisions of lower abdominal is related to increased post-operative pain, an increased rate of hernia and epigastria vessel injury and a reduced amount of satisfying cosmetic results [26]. Laparoscopic adnexectomy assisted by bagging, and colpotomy for mass extraction is an advantageous target for patients with adnexal masses meeting Triage Criteria for suspected benign lesions outlined in ACOG Committee Opinion 280 giving a little invasive approach with employee benefits including outpatient management [27].…”

Section: Discussionmentioning

confidence: 99%

Undiagnosed Adnexal Masses: Can be Managed by Laparoscopy Assisted Colpotomy?

Saleh¹

2015

Gynecol Obstet

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Laparoscopic procedures were moved ahead in management of gynecological problems. Improving the skill makes rate of complications of this procedure is low. Recently, it is believed the chosen practice for delighting adnexal Lesions. As Posterior colpotomy is applied only in laparoscopic hysterectomy. So, this study aimed to evaluate the safety and potential advantages of laparoscopy when assisted by colpotomy for organization of undiagnosed masses in adnexa through estimation of intraoperative events such as estimated blood loss, operative time and complications also postoperative pain and complications.

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“…The authors found this approach effective in surgical specimens with a great variability of shape and size, with or without the use of a laparoscopic retrieval device. The authors were able to retrieve considerable large specimens of up to 6 or 7 cm, maintaining the minimally invasive advantages of laparoscopic surgery (14).…”

Section: Specimen Retrievalmentioning

confidence: 99%

The final stage of the laparoscopic procedure: exploring final steps

et al. 2012

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INTRODuCTIONUrologic surgery continues to evolve focusing efforts on adequate treatment of pathologic urologic conditions in a safe and minimally invasive manner (1).Laparoscopic surgery has well defined benefits for the patient and has, over time, become accepted as a standard of care access strategy for the management of benign and malignant Urologic diseases. Despite significant advances in laparoscopic technique and technologies, laparoscopic Urologic surgery remains technically demanding. Unlike open surgery, at the end of laparoscopic extirpative procedures, the Urologist is often faced with the additional challenges of specimen retrieval and extraction.Laparoscopic specimen entrapment and extraction occur at what is falsely considered the "end of the procedure". During open surgery, after the specimen has been mobilized, the specimen is Despite significant advances in laparoscopic technique and technologies, laparoscopic Urologic surgery remains technically demanding regarding various surgical steps including the challenge of specimen retrieval and extraction, whether to install a drainage system and the best option for wound closure. Laparoscopic specimen entrapment and extraction occurs at what is falsely considered the "end of the procedure". During open surgery, after the specimen has been mobilized, the specimen is simply lifted out of the larger incision which has been made to achieve the surgical objectives. In contrast, significant laparoscopic skill is required to entrap and safely extract laparoscopic specimens. Indeed, the Urologist and surgical team which are transitioning from open surgery may disregard this important part of the procedure which may lead to significant morbidity. As such, it is imperative that during laparoscopic procedures, the "end of the procedure" be strictly defined as the termination of skin closure and dressing placement. Taking a few minutes to focus on safe specimen entrapment and extraction will substantially reduce major morbidity. The following review focus on the technology and technique of specimen entrapment and extraction, on the matter of whether to install a drainage system of the abdominal cavity and the options for adequate closure of trocar site wounds. This article's primary objectives are to focus on how to minimize morbidity while maintain the advantages of a minimally invasive surgical approach.

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A Modified Umbilical Incision for Specimen Extraction After Laparoscopic Abdominal Surgery

Abstract: The authors maintain that this method avoids the use of auxiliary incisions, which undo the many benefits of laparoscopic surgery.

Cited by 35 publications

References 0 publications

Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma

Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma

Undiagnosed Adnexal Masses: Can be Managed by Laparoscopy Assisted Colpotomy?

The final stage of the laparoscopic procedure: exploring final steps

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