Abstract
<h3>Study Objective</h3> The objective of this video is to review considerations in choosing a laparoscopic specimen bag and techniques to troubleshoot common intraoperative bag issues. <h3>Design</h3> This video uses still images, video footage and narration. <h3>Setting</h3> All video footage was recording in the operating room during laparoscopic surgery. Some still images were taken in a lab setting. <h3>Patients or Participants</h3> All patients were undergoing laparoscopic gynecologic surgery for a pelvic mass, ovarian cysts or fibroids. <h3>Interventions</h3> The size, characteristics, advantages and disadvantages of different laparoscopic specimen retrieval bags are reviewed. Considerations in choosing a bag for different pathology and procedures are discussed and an approach to laparoscopic specimen retrieval is presented. Video footage is used to present different techniques which can be used to avoid common problems and frustrations faced when using a laparoscopic bag. <h3>Measurements and Main Results</h3> When planning a laparoscopic procedure involving specimen removal consider the type of scope used, port placement and the planned extraction site, the size and consistency of specimens and whether morcellation will be involved. These factors inform the size and type of laparoscopic specimen bag that will best fit the case. Bags can range in price from twenty to over two-hundred dollars, making knowledge of the prices important in a cost-conscious healthcare system. <h3>Conclusion</h3> There is a large variety of laparoscopic specimen bags available, each with specific advantages and disadvantages. Specimen size and pathology are the biggest factors when choosing an appropriate bag.
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