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In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy
Joint Authors
Schempershofe, Miriam
Rimbach, Stefan
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Tissue morcellation during laparoscopic hysterectomy carries the risk of spreading cells from unsuspected malignancy.
Contained morcellation inside a bag is supposed to minimize this risk.
The present study evaluated routine use of in-bag morcellation during laparoscopic hysterectomy in a consecutive patient cohort (n=49).
The system used was More-Cell-Safe (A.M.I.
Austria).
Median age was 47 (35 to 76) years and BMI 25.1 (18.8 to 39.8).
Indications for hysterectomy were fibroids (71.4%), adenomyosis (16.3%), prolapse (8.2%), and bleeding disorders (4.1%).
48 (98%) patients underwent supracervical hysterectomy and 1 (2%) underwent total hysterectomy.
No unsuspected malignancy occurred.
Median weight of extirpated tissue was 195 g (18 to 1110).
Residual tissue and/or fluid in the bag amounted to 29 g (0 to 291).
Median overall duration of surgeries was 100.5 min, and median time associated with the use of the bag was 10 min (5 to 28), significantly correlated with uterine volume (p=0.0094) and specimen weight (p=0.0002), but not with patient’s BMI (p=0.6970).
Technical success rate for contained morcellation was 93.9%.
Peritoneal washings after contained morcellation were all negative for malignant or smooth muscle cells.
American Psychological Association (APA)
Rimbach, Stefan& Schempershofe, Miriam. 2017. In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1138170
Modern Language Association (MLA)
Rimbach, Stefan& Schempershofe, Miriam. In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1138170
American Medical Association (AMA)
Rimbach, Stefan& Schempershofe, Miriam. In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1138170
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138170