In-bag manual versus uncontained power morcellation for laparoscopic myomectomy: randomized controlled trial

Fertility and Sterility
Roberta VenturellaFulvio Zullo

Abstract

To evaluate whether manualin-bag morcellation could be efficiently proposed as alternative to the uncontained power technique. Randomized controlled trial. Academic hospital. One hundred fifty-two premenopausal women eligible for myomectomy were screened, and 104 were randomized. Patients were randomized into two groups. In the experimental group, "in-bag" protected morcellation was performed. In the control group, patients were treated by uncontained power myoma removal. The primary endpoint was the comparison of morcellation operative time (MOT). The secondary endpoints were the comparisons of total operative time (TOT), simplicity of morcellation (as defined by the surgeon using a visual analogue scale scale), intraoperative blood loss, rate of complications, and postoperative outcomes. A sample size of 51 per group (n = 102) was planned. Between March 2014 and January 2015, patients were randomized as follows: 53 to the experimental group and 51 to the control group. Most demographic characteristics were similar across groups. MOT was observed to be similar in both study groups (16.18 ± 8.1 vs. 14.35 ± 7.8 minutes, in the experimental and control groups, respectively). Fibroid size was identified as the principal factor inf...Continue Reading

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Citations

Feb 24, 2016·Fertility and Sterility·Tommaso Falcone, Rebecca Flyckt
May 13, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Sudip KunduPhilipp Soergel
Nov 8, 2017·Obstetrics and Gynecology·Matthew T Siedhoff, Sarah L Cohen
Jan 11, 2018·BioMed Research International·Stefan Rimbach, Miriam Schempershofe
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Dec 13, 2017·Current Opinion in Obstetrics & Gynecology·Pietro BortolettoMagdy P Milad
May 7, 2020·The Cochrane Database of Systematic Reviews·Fulvio ZulloGabriele Saccone
Mar 30, 2017·Frontiers in Surgery·Enes TaylanAli Akdemir
Sep 27, 2018·Gynecology and Minimally Invasive Therapy·Kyoka AmemiyaYoshimitsu Yamamoto
Apr 30, 2019·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Roberta VenturellaFulvio Zullo
Jun 10, 2020·Current Oncology Reports·Michael J HalaskaIgnacio Zapardiel
Jun 17, 2018·Journal of Robotic Surgery·Derrick J SandersonAli Ghomi
Nov 13, 2017·Archives of Gynecology and Obstetrics·Marron WongKeith Isaacson
Feb 12, 2021·Journal of Clinical Medicine·Sa Ra LeeYoung-Tak Kim
Sep 26, 2020·Journal of Minimally Invasive Gynecology·Kristen PepinSarah L Cohen
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Apr 11, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Ana Gil-GimenoSarah Maheux-Lacroix

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