A simple technique for deploying a laparoscopic bag during splenectomy: two-point anchoring to the abdominal wall.

BACKGROUND

The deployment of a retrieval bag during a laparoscopic splenectomy procedure may be time-consuming. A simple technique of holding the bag open is described in this paper.

TECHNIQUE

A retrieval bag is equipped with two long, firm threads sutured to two preexisting tags on its opposite sides. The bag is introduced into the abdomen through the ports. By bringing the threads out of the abdomen through the abdominal wall and using one grasper, the surgeon can easily deploy the retrieval bag and hold it open.

CONCLUSIONS

Our technique is easy to perform, and permits a rapid deployment and simple insertion of the spleen, while holding the retrieval bag wide open.