title: A novel technique for laparoscopic removal of the fallopian tube after ectopic pregnancy via transabdominal or transumbilical port using homemade bag: A randomized trial.
abstract: BACKGROUND
  The purpose of this study was to evaluate the feasibility and surgical outcome of a novel technique for laparoscopic removal of the fallopian tube using a homemade retrieval bag through a 10-mm transumbilical or 5-mm transabdominal port.
  
  
  METHODS
  A total of 40 women with ruptured ectopic tubal pregnancy were randomized into a 10-mm transumbilical group (n = 20) or a 5-mm transabdominal group (n = 20) according to the port used for specimen removal. Fallopian tube removal was performed using a new method based on the use of a homemade surgical glove as a retrieval bag.
  
  
  RESULTS
  There were no differences in the demographic characteristics between the two groups. The specimen retrieval time was significantly shorter in the transumbilical group than in the transabdominal group. Post-operative pain scores, assessed using a visual analog scale, were similar between the groups. No cases of rupture of the homemade retrieval bag were observed.
  
  
  CONCLUSIONS
  The laparoscopic removal of the fallopian tube through the 10-mm umbilical port using a homemade retrieval bag is associated with shorter operative time than retrieval through a 5-mm abdominal port. The present results showed the feasibility and safety of our homemade retrieval bag and novel technique.
authors.affiliation: Department of Obstetrics and Gynecology, Ege University Medical Faculty, Izmir, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Akdemir
authors.affiliation: Department of Obstetrics and Gynecology, Ege University Medical Faculty, Izmir, Turkey.
authors.forename: Ahmet Mete
authors.initials: AM
authors.lastname: Ergenoğlu
authors.affiliation: Department of Obstetrics and Gynecology, Ege University Medical Faculty, Izmir, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Akman
authors.affiliation: Department of Obstetrics and Gynecology, Ege University Medical Faculty, Izmir, Turkey.
authors.forename: Ahmet Özgür
authors.initials: AÖ
authors.lastname: Yeniel
authors.affiliation: Department of Obstetrics and Gynecology, Ege University Medical Faculty, Izmir, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Sendağ
authors.affiliation: Department of Obstetrics and Gynecology, Ege University Medical Faculty, Izmir, Turkey.
authors.forename: Mehmet Kemal
authors.initials: MK
authors.lastname: Oztekin
keywords: Ectopic pregnancy; homemade retrieval bag; laparoscopy; specimen removal; transumbilical