Novel Technique to Remove Specimen Using Capillary Action during Transurethral Resection Surgery

Won Hoon Song and Ja Hyeon Ku

Department of Urology, Seoul National University Hospital, South Korea

^*Correspondance to: Ja Hyeon Ku 

 PDF  Full Text DOI: 10.25107/2474-1647.2034

Abstract

Purpose: Conventional methods of mechanical suction such as Ellik evacuator and Toomey syringe for clots evacuation or specimen removal with bladder retention or resected masses from endoscopic surgery has risk of bladder perforation. The purpose of this study was to devise a novel method to remove specimen easily without causing complications.
Materials and Methods: Trans Urethral Resection of Bladder Tumor (TURBT) was performed for patients with bladder tumors. Resected tumor masses were removed using a novel technique with capillary action.Results: The novel technique to remove specimen involved the following five steps. First, tumor masses are resected with a resectoscope having wire loop and electro coagulation is performed for the bleeding point. Second, the valve of irrigation line is locked to prevent distention of bladder. Third, the resectoscope is taken to be close to the specimen. Fourth, the resectoscope is pulled half way back from the sheath to form capillary pressure. Fifth, specimens are spontaneously drained by capillary action.
Conclusion: A novel technique to remove specimen from TURBT using capillary action without mechanical suction such as Ellik evacuator or Toomey syringe was developed. In addition to specimen removal, stone fragments and clots could be easily removed without causing complications.

Keywords

Capillary action; Drainage; Suction; Transurethral resection

Cite the article

Song WH, Ku JH. Novel Technique to Remove Specimen Using Capillary Action during Transurethral Resection Surgery. Clin Surg. 2018; 3: 2034.