Steps to Procedure

Extraction Sac

The extraction sac with the specimen enclosed is pulled up to the abdominal wall after removing the laparoscopic trocar. If the extraction sac cannot be easily removed with simple axial traction the forceps are applied to the sac.

 

 Right Blade Placement

The forceps are locked together outside of the abdominal cavity to confirm the orientation of the blades for placement into the abdominal cavity. The right blade (labeled with the letter "R") is advanced under direct visualization along side of the laparoscopic tissue retrieval sac into the abdomen through the laparoscope.

 

 

 Left Blade Placement

The left blade (labelled with the letter "L") is placed on the other side of the extraction sac orienting its handle between the extraction sac anteriorly and the right blade handle posteriorly. This blade placement is sometimes made easier by advancing the right blade into the abdomen slightly to allow the left blade to pass along side of the right blade's shank.

 

 

 Forceps Locked

With each blade in place the forceps are locked and the blades are adjusted around the extraction sac by slightly opening the handles of the locked forceps so that the extractions sac and forceps are in parrallel.

 

 

 Forceps Extraction

The extraction sac with the specimen enclosed is pulled up to the abdominal wall after removing the laparoscopic trocar. If the extraction sac cannot be easily removed with simple axial traction the forceps are applied to the sac.

 

 

Site Inspection

The trocar site is inspected at the level of the abdominal wall fascia to ensure there has been no extension of the fascial defect. If an extension has occurred it is closed along with the fascial defect in standard fashion.