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#954 Transvaginal retrieval of enlarged uterus during minimally invasive surgery using urine bag
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  1. Murat Api1,
  2. Esra Keles2,
  3. Serkan Akis3 and
  4. Ugur Kemal Ozturk1
  1. 1Department of Gynecologic Oncology, I?stanbul, Turkey
  2. 2University of Health Sciences Turkey, I?stanbul, Turkey
  3. 3Kartal Dr Lütfi Kirdar City Hospital, I?stanbul, Turkey

Abstract

Introduction/Background Minimally invasive surgery is more frequently getting used in gynecologic operations. The difficult part of the procedure is extracting of an large uterus or an unruptured adnexal mass. Without conversion to a laparotomy for specimen retrieval, urine bag could be used to easily retrieve large specimens through the vaginal route.

Methodology After completion of the hysterectomy, difficulty of extraction of hysterectomy specimen, as the uterus, fallopian tubes, and ovaries were too large to be retrieved intact despite multiple attempts of delivery through the vaginal route. Before conversion of laparotomy or morcellation of the uterus, a urine bag is prepared as a containment endoscpic bag by cutting the upper edge and folding the bag was placed through the vagina and the intact specimen was easily placed inside the bag under direct visualization and removed through the colpotomy incision.

Results There was no postoperative hemogram reduction was observed in the presented technique. No intraoperative and postoperative complications were occurred. The patients were discharged on the first day of the operation. In addition, since uterus was removed in a specimen bag, the technic reduces the possibility of spreading into the abdomen.

Conclusion We suggest this technique to retrieve large hysterectomy specimens that are not readily delivered through the vaginal route and find this technique to be safe, highly efficient, and cost effective when there is a need to remove large intact specimens during minimally invasive surgery.

Disclosures Nothing to disclose.

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