Fisherman's technique, introducing a novel method for using the umbilical port for removal of appendix during laparoscopic appendectomy

We describe a useful technique for removing the dissected appendix after laparoscopic appendectomy. This technique allows laparoscopic appendectomy to be completed with a single 10-mm and two 5-mm ports using only one 10-mm telescope. In this technique the dissected appendix is tied with an endoloop and then the end of this loop is railroaded through the umbilical port that will allow the appendix to be pulled (or fished) through the umbilical port. The advantage of this technique over older techniques is that it uses the full width of the 10 mm port, which makes it suitable for almost all cases with no chance of appendicular fragmentation during retrieval. The technique is safe, inexpensive, and does not need the use of retrieval bags.