Just wanted to poll the list to what strategies others use to remove ovaries from the abdomen after laparoscopic detachment. I've been using the endobag lately but it's always a chore to get it out the incision. End up doing a combination of chopping the ovary up in the bag and teasing it through the incision. Anyone have any easier methods?
--
Hood River, OR
cchamber@alumni.rice.edu
"Almost anything you do will seem insignificant but it is very important
that you do it....You must be the change you wish to see in the world"
? ? ? ??-- Mahatma Ghandi.
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I use the Endobag.? I find myself rarely needing to extend the incision to remove a normal sized ovary.? I leave the abdomen inflated and pull the port out with the bag.? If the bag does not want to come out,?I open the bag and grasp the ovary with a pair of Allis clamps and pull?everything out together.? If there is an ovarain cyst, I would puncture the cyst is the bag and keep everything contained in the bag before I pull it out of the abdomen.? Once in a while, I would find it necessary to extend the incision.? But I prefer that over making a new incision in the vagina and converting a clean procedure to a "clean contaminated" procedure.?
Allan
Pennsylvania
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-----Original Message-----<br>
From: Charlie Chambers <cchamber@embarqmail.com><br>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><br>
Sent: Wed, 6 Feb 2008 11:05 pm<br>
Subject: ovarian removal<br>
<br>
<div id=AOLMsgPart_2_b9b5057e-8074-4858-8be1-31b958013c05>Just wanted to poll the list to what strategies others use to remove ovaries from the abdomen after laparoscopic detachment. I've been using the endobag lately but it's always a chore to get it out the incision. End up doing a combination of chopping the ovary up in the bag and teasing it through the incision. Anyone have any easier methods?
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<div style="MARGIN: 0px">Charlie Chambers</div>
<div style="MARGIN: 0px">Hood River, OR</div>
<div style="MARGIN: 0px"><A href="mailto:cchamber@alumni.rice.edu">cchamber@alumni.rice.edu</A></div>
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<div style="MARGIN: 0px">"Almost anything you do will seem insignificant but it is very important</div>
<div style="MARGIN: 0px">that you do it....You must be the change you wish to see in the world"</div>
<div style="MARGIN: 0px"> -- Mahatma Ghandi.</div>
<div style="MARGIN: 0px">*******************************************************************************</div>
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<div>I use the Endobag. I find myself rarely needing to extend the incision to remove a normal sized ovary. I leave the abdomen inflated and pull the port out with the bag. If the bag does not want to come out, I open the bag and grasp the ovary with a pair of Allis clamps and pull everything out together. If there is an ovarain cyst, I would puncture the cyst is the bag and keep everything contained in the bag before I pull it out of the abdomen. Once in a while, I would find it necessary to extend the incision. But I prefer that over making a new incision in the vagina and converting a clean procedure to a "clean contaminated" procedure. <br>
<br>
Allan<br>
Pennsylvania</div>
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