Contained morcellation using the GelPOINT advance access platforms and 3M Steri-Drape endobag

Fertility and Sterility
Stephen KujansuuSteven R Lindheim

Abstract

To report a technique that safely allows power and hand morcellation for laparoscopic hysterectomy and myomectomy specimens in a contained fashion in the event of unsuspected uterine sarcoma or leiomyosarcoma. Video article introducing a method for enclosed tissue morcellation for laparoscopic specimens. Hospital of an academic-based practice. Two patients underwent laparoscopic hysterectomy: a 57-year-old G7 P5025 female for leiomyoma, anemia, and a history of CIN-3; and a 38-year-old G0P0 female with a 10-year history of pelvic pain and severe dysmenorrhea who failed medical therapy. A technique using the GelPOINT Platform incision extender system and GelSeal Cap (GSP) Advanced Access Platform and a 50 cm × 50 cm 3M Steri-Drape endobag for enclosed intracorporeal and extracorporeal tissue morcellation of laparoscopic specimens. For training purposes, we used a pelvic simulator and cadaver to describe the step-by-step process and troubleshoot issues to optimize intra- and extracorporeal morcellation. This allowed for easier implementation on the live patient. Simulation training and the cadaver model provided a learning platform for contained internal power and external hand morcellation, accelerating the learning curve in its...Continue Reading

References

Apr 1, 1994·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Oct 20, 2009·Journal of Minimally Invasive Gynecology·Kimberly A KhoCeana Nezhat
Aug 28, 2014·Obstetrics and Gynecology·Sarah L CohenTony Shibley

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Citations

Dec 23, 2015·Archives of Gynecology and Obstetrics·Stefan RimbachFelix Offner
Jul 18, 2015·Reproductive Biomedicine Online·Stefano Palomba, Giovanni Battista La Sala
Apr 24, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Yoichi AokiTatsuo Yamamoto
Jul 2, 2016·Gynécologie, obstétrique & fertilité·Y KerbageP Collinet
May 28, 2019·Journal of Minimally Invasive Gynecology·Alexander HermanPrasanna Hariharan

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