Uncontained Compared With Contained Power Morcellation in Total Laparoscopic Hysterectomy

Obstetrics and Gynecology
Brooke WinnerScott Biest

Abstract

To compare perioperative outcomes of uncontained and contained power morcellation in total laparoscopic hysterectomy. Women who underwent total laparoscopic hysterectomy that required utilization of power morcellation between July 2012 and January 2015 in the Division of Minimally Invasive Gynecology at an academic tertiary care center were included. In February 2014, the division began performing all power morcellation contained within a large insufflated bag in an attempt to reduce dissemination of benign and malignant uterine tissue. Data were collected from a prospective database and analyzed as a retrospective cohort. The primary outcome was operative time. Secondary outcomes included estimated blood loss, length of stay, pathology, uterine weight, and complications, including blood transfusion, conversion to open, intraoperative organ injury, pelvic infection, readmission, or reoperation. A total of 152 patients were identified: 101 uncontained morcellations and 51 contained morcellations. The baseline demographic characteristics between the two groups were similar. Operative time was longer in the contained morcellation group (184 compared with 164 minutes, P=.01). There were no cases of visible bag disruption or dissemi...Continue Reading

References

Oct 5, 2006·Obstetrics and Gynecology·Wesley S Hilger, Javier F Magrina
Aug 25, 2009·Obstetrics and Gynecology·Kimberly A Kho, Ceana Nezhat
May 29, 2012·Gynecologic Oncology·Giovanni FaveroJesus Paula Carvalho
Aug 24, 2012·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins—Gynecology
Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Kelly N WrightJon I Einarsson
May 3, 2013·Obstetrics and Gynecology·L Stewart MassadUNKNOWN 2012 ASCCP Consensus Guidelines Conference
Nov 10, 2013·Obstetrics and Gynecology·William F Rayburn, Albert L Strunk
Jun 15, 2014·Journal of Minimally Invasive Gynecology·Sarah L CohenJon I Einarsson
Jul 23, 2014·JAMA : the Journal of the American Medical Association·Jason D WrightDawn L Hershman
Aug 28, 2014·Obstetrics and Gynecology·Sarah L CohenTony Shibley

❮ Previous
Next ❯

Citations

Feb 18, 2016·Best Practice & Research. Clinical Obstetrics & Gynaecology·Nyia L Noel, Keith B Isaacson
Dec 23, 2015·Archives of Gynecology and Obstetrics·Stefan RimbachFelix Offner
Feb 2, 2016·Journal of Minimally Invasive Gynecology·Deirdre A LumJason D Wright
Oct 10, 2015·Journal of the National Cancer Institute·David G Mutch
Jul 2, 2016·Gynécologie, obstétrique & fertilité·Y KerbageP Collinet
Aug 18, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·E M SandbergF W Jansen
Oct 18, 2016·Journal of Minimally Invasive Gynecology·Harneet GujralKelly N Wright
Mar 5, 2016·Obstetrics and Gynecology·Nisha A Lakhi, Eli Serur
Mar 5, 2016·Obstetrics and Gynecology·Brooke WinnerScott Biest
Nov 8, 2017·Obstetrics and Gynecology·Matthew T Siedhoff, Sarah L Cohen
Jan 11, 2018·BioMed Research International·Stefan Rimbach, Miriam Schempershofe
Jan 26, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Jiaren ZhangJinhua Leng
Jun 3, 2016·Current Opinion in Obstetrics & Gynecology·Sarah L CohenMatthew T Siedhoff
Dec 19, 2019·Clinical Obstetrics and Gynecology·Christine FoleyJohn Harris
Dec 13, 2017·Current Opinion in Obstetrics & Gynecology·Pietro BortolettoMagdy P Milad
Dec 2, 2017·Current Opinion in Obstetrics & Gynecology·Charles E Miller
Mar 30, 2017·Frontiers in Surgery·Enes TaylanAli Akdemir
Nov 13, 2017·Archives of Gynecology and Obstetrics·Marron WongKeith Isaacson
Feb 18, 2021·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice
Sep 26, 2020·Journal of Minimally Invasive Gynecology·Kristen PepinSarah L Cohen
May 28, 2019·Journal of Minimally Invasive Gynecology·Alexander HermanPrasanna Hariharan
Apr 11, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Ana Gil-GimenoSarah Maheux-Lacroix

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.