Technical update on tissue morcellation during gynaecologic surgery: its uses, complications, and risks of unsuspected malignancy

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Sukhbir Sony SinghLaura Hopkins

Abstract

To review the use of tissue morcellation in minimally invasive gynaecological surgery. Morcellation may be used in gynaecological surgery to allow removal of large uterine specimens, providing women with a minimally invasive surgical option. Adverse oncologic outcomes of tissue morcellation should be mitigated through improved patient selection, preoperative investigations, and novel techniques that minimize tissue dispersion. Published literature was retrieved through searches of PubMed and Medline in the spring of 2014 using appropriate controlled vocabulary (leiomyomsarcoma, uterine neoplasm, uterine myomectomy, hysterectomy) and key words (leiomyoma, endometrial cancer, uterine sarcoma, leiomyosarcoma, morcellation, and MRI). Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no date limits but results were limited to English or French language materials. Searches were updated on a regular basis and incorporated in the guideline to August 2014. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collectio...Continue Reading

Citations

Sep 22, 2016·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Miroslav SekulicSaeid Movahedi-Lankarani
Mar 1, 2017·Journal of Obstetrics and Gynaecology of India·Gautam N Allahbadia
Nov 13, 2017·Archives of Gynecology and Obstetrics·Marron WongKeith Isaacson
Sep 22, 2016·Journal of Obstetrics and Gynaecology of India·Priti AgrawalJoytirmay Chandrakar
Oct 19, 2016·Expert Review of Anticancer Therapy·Birgit RommelJörn Bullerdiek
May 13, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Irene RuengkhachornSuchanan Hanamornroongruang

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