Technique for transvaginal removal of large specimen using an Alexis Contained Extraction System during laparoscopic hysterectomy

다국어 초록 (Multilingual Abstract)

ObjectiveTransvaginal removal of large specimens during laparoscopic hysterectomy can be a complex surgical procedure thatposes a risk of organ injury and tissue spillage into the abdominal cavity and is associated with extraction of thespecimen and manual morcellation. Our objective was to demonstrate a technique for transvaginal removal of largespecimens using the Alexis Contained Extraction System (CES) in laparoscopic hysterectomy.
MethodsThe technique used for transvaginal removal of large specimens using the Alexis CES was presented in this video.
Surgery was performed at a tertiary hospital.
ResultsFollowing resection of the specimen during laparoscopic hysterectomy, the Alexis CES was inserted into the abdominalcavity through the umbilical trocar wound. The specimen was placed in a bag to prevent tissue spillage. The ringretractor was guided to the vagina and pulled out transvaginally. By repeatedly turning the ring retractor, tensionwas applied to the specimen bag, and the vaginal wall was unfolded all around to enable a secure surgical field.
During manual morcellation of the specimen in the bag, the retractor was pulled and additionally turned to roll andre-tension the specimen bag when the bag was loosened. The specimen was pushed out of the vagina and safely andeffectively extracted without concerns about tissue spillage in the abdominal cavity or related organ injuries.
ConclusionThe technique for transvaginal removal of large specimens using the Alexis CES enables simple, effective, and safetissue extraction with contained manual morcellation during laparoscopic hysterectomy.

국문 초록 (Abstract)

영어

참고문헌 (Reference)

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