Endobag extractor to remove masses during laparoscopy

Background: Intra-abdominal masses are removed during laparoscopy using dif ferent types of endobags. However, in many cases the specimens are larger t han the trocar or the incision in the abdomen, with a potential risk of end obag rupture. Instrument: We developed an instrument to facilitate extraction of an endob ag during laparoscopy without the need for a conventional minilaparotomy. T he endobag extractor has three removable diverging blades that symmetricall y enlarge the operative canal in the abdominal wall if spread after sharp e xtension of the skin incision. The full endobag can be drawn through the ca nal without the risk of endobag rupture because the size of the canal can b e individualized, building a funnel. Experience: We removed various kinds of ovarian tumors, specimens from salp ingo-oophorectomies, and other specimens in 22 cases. Conclusion: This new instrument allows easy removal of surgical specimens d uring laparoscopy without conventional minilaparotomy, regardless of the ty pe of endobag used. We believe this instrument lessens the risk of endobag rupture. (Obstet Gynecol 2000;95:304-5. (C) 2000 by The American College of Obstetricians and Gynecologists.).