Objective: Specimen retrieval bags were used to remove cysts and masses in minimally invasive urologic surgeries for more than 3 decades. This study aims to describe the steps in making a homemade specimen retrieval bag named JuRoLap and its safety and resiliency.
Materials and Methods: The bag’s name was taken from the initials of the institution combined with the department's short-name (uro) and laparoscopy (Lap). The bag is composed of a non-toxic polyvinyl chloride (PVC) urine bag custom fitted according to the expected specimen size. The sides were sealed using an impulse sealer leaving one side open. The bag ways rolled and introduced intracorporeally via the 12mm port. It was opened followed by specimen placement using standard laparoscopic instruments. Purse-string suture at the one-side opening was tightened and extracted through the umbilical port extending the incision as necessary.
Results: JuRoLap was used in 33 cases removing various organs such as adrenals, kidney, ureter, bladder and prostate. It was easily prepared, safe, resilient and economical costing approximately USD 0.68. It was essential to routinely check its durability by doing a leak test prior to sterilization. Proper rolling, transparent plastic component of the bag and the use of two laparoscopic graspers provided ease in bag deployment and specimen entrapment. It was also observed that smaller incision on extraction site as compared to the specimen size was needed due to the resiliency of the bag. Despite the required learning curve in organ entrapment and extraction, there were no complications and specimen leakage noted.
Conclusion: JuRoLap specimen retrieval bag is organ size specific, safe, resilient and low cost specimen retrieval bag innovation.