Contained tissue extraction using power morcellation: prospective evaluation of leakage parameters

American Journal of Obstetrics and Gynecology
Sarah L CohenJon I Einarsson

Abstract

Safe tissue removal is a challenge for minimally invasive procedures such as myomectomy, supracervical hysterectomy, or total hysterectomy of a large uterine specimen. There is concern regarding disruption or dissemination of tissue during this process, which may be of particular significance in cases of undetected malignancy. Contained tissue extraction techniques have been developed in an effort to mitigate morcellation-related risks. The objective of the study was to quantify perioperative outcomes of contained tissue extraction using power morcellation, specifically evaluating parameters of tissue or fluid leakage from within the containment system. This was a study including a multicenter prospective cohort of adult women who underwent minimally invasive hysterectomy or myomectomy using a contained power morcellation technique. Blue dye was applied to the tissue specimen prior to removal to help identify cases of fluid or tissue leakage from within the containment system. A total of 76 patients successfully underwent the contained power morcellation protocol. Mean time for the contained morcellation procedure was 30.2 minutes (±22.4). The mean hysterectomy specimen weight was 480.1 g (±359.1), and mean myomectomy specimen ...Continue Reading

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Citations

Feb 2, 2016·Journal of Minimally Invasive Gynecology·Deirdre A LumJason D Wright
Dec 23, 2015·Archives of Gynecology and Obstetrics·Stefan RimbachFelix Offner
Jul 2, 2016·Gynécologie, obstétrique & fertilité·Y KerbageP Collinet
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May 10, 2017·Obstetrics and Gynecology·Helga OttarsdottirJon I Einarsson
May 4, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·F GhezziA Cromi
Jun 3, 2016·Current Opinion in Obstetrics & Gynecology·Sarah L CohenMatthew T Siedhoff
Dec 19, 2019·Clinical Obstetrics and Gynecology·Christine FoleyJohn Harris
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