Laparoscopic Ovarian Cystectomy Inside a Bag: A New Operative Technique for Dermoid Cysts

Davies, Anthony; Mohammed, Hossam; Richardson, Richard E.; Magos, Adam

doi:10.1089/gyn.1997.13.35

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…For ovarian cystectomy, excision of the cyst is usually carried out inside the bag 3 . Conversely, in cases of oöphorectomy, the ovary is first resected, and then placed inside the bag.…”

Section: Material Methods and Resultsmentioning

confidence: 99%

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A safe method of deflating ovarian cysts in a bag at laparoscopy

et al. 2002

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Objective To describe a novel technique to drain a cyst in a bag at laparoscopic oophorectomy/cystectomy to reduce the incidence of bag rupture and intra‐peritoneal spillage of the cyst contents. Setting An undergraduate teaching hospital. Subjects Six women undergoing laparoscopic surgery for ovarian cysts. Design Prospective observational study. Materials and Methods We used the sterile plastic wrapping of the disposable suction/irrigation tubing as the bag. The bag is inserted via the 10 mm camera port by rolling it onto the blunt probe. The specimen is put into the bag either prior to surgery (for ovarian cystectomy) or after excision (for oophorectomy). The opening of the bag is then pulled out through the left ancillary port incision. To drain and debulk the cyst, a blunt probe is put into the bag and a valveless cannula rail‐roaded over the probe. The probe is removed and a Veress needle pushed down the cannula and into the cyst under direct laparoscopic vision. The cyst is drained and the bag removed either via the incision or a posterior colpotomy. Results This technique was used on six patients. In all cases the bag remained intact with no spillage of ovarian contents. Conclusion This technique reduces the chance of cyst content spillage during drainage at laparoscopic oophorectomy/cystectomy while avoiding the need to use expensive disposable laparoscopic bags.

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“…For ovarian cystectomy, excision of the cyst is usually carried out inside the bag 3 . Conversely, in cases of oöphorectomy, the ovary is first resected, and then placed inside the bag.…”

Section: Material Methods and Resultsmentioning

confidence: 99%

“…Laparoscopic oöphorectomy and cystectomy in a bag are well‐established surgical procedures for the management of ovarian cysts in cases where there is concern about the risk of spillage of cyst contents 1–6 . There is also evidence that the use of bags reduces the operating time 7 .…”

Section: Resultsmentioning

confidence: 99%

A safe method of deflating ovarian cysts in a bag at laparoscopy

et al. 2002

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“…4 The bag is easy to open and close, additional secondary ports are not required, the method is suitable for relatively large specimens, and no additional costs are incurred except for the price of three sutures.…”

Section: Commentmentioning

confidence: 99%

The “Remote Control” Laparoscopic Bag

Chatzipapas

Hart

Magos

1998

Obstetrics & Gynecology

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Background:To facilitate extraction and avoid intraabdominal spillage during laparoscopic removal of adnexal masses, various designs and sizes of endopouches (bags) have been used. We describe a simple technique using a special laparoscopic bag that requires no additional instruments to hold, open, or close the bag.Technique: The laparoscopic bag can be prepared from the sterile wrapping of disposable surgical items (eg, suction tubing) and two long sutures. The bag is introduced through the cannula of the laparoscope and is unfurled. By manipulation of the two long sutures threaded through the neck of the bag, the surgeon can easily open and close it.Experience: We have performed this procedure "in vitro" on many occasions to ensure that the drawstring technique works. The laparoscopic bag has been used successfully in three patients undergoing oophorectomy and salpingooophorectomy. Our experience shows that this type of laparoscopic bag is easy to use and safe, reduces operative time, and is cost effective. Because the bag can be large, operating inside the bag is also possible.Conclusion: Our drawstring design allows easy manipulation of a laparoscopic bag to facilitate its opening and closure. (Obstet Gynecol 1998;92:622-3.

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“…We have previously described our preliminary experience with 'oophorectomy-in-a bag' for laparoscopic removal of ovarian masses (Amso et al, 1992;Davies et al, 1997). The intraperitoneal bag is intended to create an isolated field to avoid spillage of the cyst content into the abdominal cavity in case of rupture, and thereby allow the safe laparoscopic removal of ovarian masses (Nezhat et al, 1989;Rogers, 1993, 1994;Volz et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic 'oophorectomy-in-a bag'an alternative to laparotomy for the evaluation of suspicious ovarian masses

Shushan

Πρωτόπαπας²,

Magos³

2001

Journal of Obstetrics and Gynaecology

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A prospective observational study was performed to assess the feasibility of the technique of laparoscopic 'oophorectomy-ina bag' for the safe removal of ovarian masses that do not meet the standard guidelines for laparoscopic management of adnexal pathology. Ovarian lesions were selected preoperatively by: age of the patient, ultrasound appearance, bilaterality and size. None of the women had ascites or matted bowel on ultrasound, and all had normal serum tumour markers. There were no stigmata of malignant disease in any of the cases at the time of surgery. Twenty women were recruited. Eighteen procedures (90.0%) were completed successfully laparoscopically. In two cases the bag could not be removed laparoscopically and minilaparotomy was performed. Nineteen of the tumours (95.0%) were removed without intra-abdominal spillage; the bag ruptured in one case. There were no major complications. One case of borderline ovarian tumour (stage Ia) was discovered. We conclude that laparoscopic 'oophorectomy-in-a bag' allows for the safe removal of suspicious ovarian tumours. The advantages of this approach are that women can be treated locally, a laparotomy is avoided, and the subgroup with ovarian malignancy can be identified to be referred to an oncological centre.

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Laparoscopic Ovarian Cystectomy Inside a Bag: A New Operative Technique for Dermoid Cysts

Cited by 3 publications

References 6 publications

A safe method of deflating ovarian cysts in a bag at laparoscopy

A safe method of deflating ovarian cysts in a bag at laparoscopy

The “Remote Control” Laparoscopic Bag

Laparoscopic 'oophorectomy-in-a bag'an alternative to laparotomy for the evaluation of suspicious ovarian masses

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