Association of uterine dimensions and route of contained morcellation following laparoscopic hysterectomy.

Minerva ginecologica
Aakriti R CarrubbaChristopher C Destephano

Abstract

The aim of this study was to determine if uterine dimensions on preoperative imaging are associated with route of contained morcellation during laparoscopic hysterectomy. This is a prospective cohort study of patients undergoing laparoscopic hysterectomy and requiring morcellation for specimen extraction from March 2017 through August 2019. A contained extraction system was inserted and manual morcellation was performed vaginally, abdominally, or via a combination of both methods in cases of failed vaginal extraction. A total of 47 patients were treated. Median age was 47 (range 38-70). Morcellation was performed vaginally for 29 patients (61.7%), abdominally for 13 patients (27.7%), and via combined approach for 5 patients (10.6%). The combined group had the highest frequency of patients who were black (vaginal: 24%, abdominal: 31%, combined: 100%; P=0.005), the longest median total operating time (vaginal: 167 minutes, abdominal: 183 minutes, combined: 268 minutes; P=0.006) and the longest median time of uterine morcellation (vaginal: 14 minutes, abdominal: 37 minutes, combined: 85 minutes; P<0.001). There was strong evidence of a positive correlation with time of uterine morcellation for both largest uterine diameter (Spearm...Continue Reading

References

Dec 6, 2005·American Journal of Obstetrics and Gynecology·Lennox HoyteAlison C Weidner
Mar 22, 2008·American Journal of Obstetrics and Gynecology·Beri M RidgewayMatthew D Barber
Feb 2, 2016·Journal of Minimally Invasive Gynecology·Deirdre A LumJason D Wright
Jun 10, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·B GergesG Condous
May 10, 2017·Journal of Minimally Invasive Gynecology·Elsemieke A I M MeursSarah L Cohen
Sep 26, 2017·Journal of Minimally Invasive Gynecology·Morgan WolfeBrooke Winner
Mar 28, 2018·Journal of Minimally Invasive Gynecology·UNKNOWN Tissue Extraction Task Force Members. Electronic address: generalmail@aagl.org

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