Using saline bags instead of commercial retrieval bags to reduce the cost of splenic retrieval after laparoscopic splenectomy

Mehmet  Velidedeoglu; Sina  Ferahman; Halit  Taskin; Fahrettin  Kilic; Server  Uludag; Akif  Arikan; Guniz  Koksal; Safak  Erbabacan; Abdullah  Zengin

1 Sep 2023Article

Mehmet Velidedeoglu ¹Sina Ferahman ²Halit Taskin ¹Fahrettin Kilic ²Server Uludag ¹Akif Arikan ¹Guniz Koksal ³Safak Erbabacan ³Abdullah Zengin ¹

Affiliations

Article Info

¹ Department of General Surgery, Faculty of Medicine, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey

² Department of General Surgery, Faculty of Medicine, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey

³ Department of Anesthesiology and Reanimation, Faculty of Medicine, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey

Abstract

BACKGROUND: Laparoscopic splenectomy (LS) is considered the gold standard treatment in adults with idiopathic thrombocytopenic purpura (ITP) refractory to medical therapy. However, the retrieval of the spleen in LS is still a technical challenge, despite the use of various commercial retrieval bags. This study reports the feasibility and reliability of using a saline bag for spleen retrieval in a reduced port splenectomy. METHODS: Between 2007 and 2020, 55 consecutive patients underwent LS for ITP. Data were collected retrospectively. To retrieve the spleen, a 1 liter sterile saline bag was used. RESULTS: Fifty-five patients underwent LS. There was only one complication related to the saline bag: an iatrogenic ileal injury during the morselization process. CONCLUSION: One-liter saline bag is feasible, and widely available. No additional instruments or cost is required and there is no need to extend the wound for spleen retrieval during LS

Keywords

Idiopathic thrombocytopenic purpura
Laparoscopic surgery
Splenectomy