Using saline bags instead of commercial retrieval bags to reduce the cost of splenic retrieval after laparoscopic splenectomy
Mehmet Velidedeoglu 1, Sina Ferahman 2, Halit Eren Taskin 1, Fahrettin Kilic 3, Server Sezgin Uludag 1, Akif Enes Arikan 1,4, Guniz Koksal 5, Safak Emre Erbabacan 5, Abdullah Kagan Zengin 1
Affiliations
Article Info
1 Department of General Surgery, Faculty of Medicine, Istanbul University, Cerrabpasa Medical Faculty, lstanbul Turkey
2 Department of General Surgery, Faculy of Medicine, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Healb Sciences, lstanbul, Turkey
3 Department of Radiology, Facully of Medicine, Istanbul University, Cerabpasa Medical Faculty, lstanbul, Turkey
4 Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar Universin, Istanbul, Turkey
5 Department of Anestbesiology and Reanimation, Faculy of Medicine, lsanbul Univerit, Cerabpasa Medical Faculny, lsanbu, 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