open access

Vol 93, No 5 (2022)
Research paper
Published online: 2022-02-16
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Laparoscopic in-bag morcellation — a comparison of two tissue extraction systems

Bogdan Obrzut1, Tomasz Wasyluk1, Marzanna Obrzut2, Bernard Sozanski3, Dorota Darmochwal-Kolarz1, Stefan Rimbach4
·
Pubmed: 35315008
·
Ginekol Pol 2022;93(5):369-373.
Affiliations
  1. Department of Obstetrics and Gynecology, Institute of Medical Sciences, Medical College, University of Rzeszow, Poland
  2. Center for Diagnostic Medical Sonography, Rzeszow, Poland
  3. Institute of Medical Sciences, Medical College, University of Rzeszow, Poland
  4. Department of Obstetrics and Gynaecology, Agatharied Hospital, Germany

open access

Vol 93, No 5 (2022)
ORIGINAL PAPERS Gynecology
Published online: 2022-02-16

Abstract

Objectives: Morcellation is an integral part of laparoscopic procedures related to uterine fibroids, which consist of the mechanical fragmentation of the tumor and its extraction outside the abdominal cavity. To avoid the risk of tissue dissemination, special extraction systems have been developed, which allow morcellation of the specimen under visual control and its removal without contact with the abdominal organs. The aim of the paper is to compare the two systems for laparoscopic morcellation.

Material and methods: The study included 33 premenopausal women with symptomatic leiomyomas or adenomyosis, who were qualified for laparoscopic surgery with contained power morcellation. Patients were allocated alternately to a different tissue extraction system’s group. According to the study protocol, selected operative parameters were prospectively recorded. Finally, an assessment of bag use was performed. The data was statistically analyzed.

Results: There were significant differences between the two tested systems in terms of introducing and positioning the bag, its removal from the peritoneal cavity, as well as optic trocar insertion and establishing the pseudo-peritoneum.

Conclusions: Despite the minor design differences and some ergonomic aspects, both presented systems proved to be safe and feasible tools for laparoscopic contained morcellation. This technique both reduces the risk of tissue dissemination and preserves the advantages of minimal invasiveness.

Abstract

Objectives: Morcellation is an integral part of laparoscopic procedures related to uterine fibroids, which consist of the mechanical fragmentation of the tumor and its extraction outside the abdominal cavity. To avoid the risk of tissue dissemination, special extraction systems have been developed, which allow morcellation of the specimen under visual control and its removal without contact with the abdominal organs. The aim of the paper is to compare the two systems for laparoscopic morcellation.

Material and methods: The study included 33 premenopausal women with symptomatic leiomyomas or adenomyosis, who were qualified for laparoscopic surgery with contained power morcellation. Patients were allocated alternately to a different tissue extraction system’s group. According to the study protocol, selected operative parameters were prospectively recorded. Finally, an assessment of bag use was performed. The data was statistically analyzed.

Results: There were significant differences between the two tested systems in terms of introducing and positioning the bag, its removal from the peritoneal cavity, as well as optic trocar insertion and establishing the pseudo-peritoneum.

Conclusions: Despite the minor design differences and some ergonomic aspects, both presented systems proved to be safe and feasible tools for laparoscopic contained morcellation. This technique both reduces the risk of tissue dissemination and preserves the advantages of minimal invasiveness.

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Keywords

morcellation; leiomyoma; endoscopy; hysterectomy

About this article
Title

Laparoscopic in-bag morcellation — a comparison of two tissue extraction systems

Journal

Ginekologia Polska

Issue

Vol 93, No 5 (2022)

Article type

Research paper

Pages

369-373

Published online

2022-02-16

Page views

4640

Article views/downloads

803

DOI

10.5603/GP.a2022.0001

Pubmed

35315008

Bibliographic record

Ginekol Pol 2022;93(5):369-373.

Keywords

morcellation
leiomyoma
endoscopy
hysterectomy

Authors

Bogdan Obrzut
Tomasz Wasyluk
Marzanna Obrzut
Bernard Sozanski
Dorota Darmochwal-Kolarz
Stefan Rimbach

References (16)
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  8. FDA News Release - Updated Safety Communication: 17th April and 24th Nov, 2014; FDAdiscourages use of laparoscopic power morcellation for removal of uterus or uterine fibroids. http://www.fda.gov/ MedicalDevices/Safety/AlertsandNotices/ucm424443.html (1.11.2021).
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