A Novel Laparoscopic Tissue Retrieval Device

BACKGROUND AND OBJECTIVES: A persistent problem in operative laparoscopy is the removal of laparoscopically resected tissue specimens. This study is a consecutive series demonstrating a device designed to facilitate the removal of laparoscopically resected tissue specimens. METHODS: Forty-two patients met the criteria for inclusion in this study. These patients included gynecologic operative laparoscopy patients with a laparoscopically resected tissue specimen placed in a tissue retrieval sac. The sac could not to be removed from a subumbilical trocar incision with axial traction. The device was placed and an attempt was made to remove the sac/specimen. When successful, the wound was inspected for a fascial defect and closed, and if unsuccessful the wound was enlarged to remove the tissue specimen. RESULTS: Thirty-four patients had successful removal of the laparoscopic tissue specimen. In 8 patients, the device was not successful. No adverse intraoperative outcomes occurred. Three patients had superficial postoperative wound infection treated successfully with outpatient oral antibiotic therapy. There were no other postoperative complications. CONCLUSION: This novel medical device allows an easy and effective means to remove trapped laparoscopic tissue retrieval sacs. Prudent use of this device appears to convey no increased risk of adverse surgical outcomes.