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Laparoscopic in-bag morcellation — a comparison of two tissue extraction systems
Affiliations- Department of Obstetrics and Gynecology, Institute of Medical Sciences, Medical College, University of Rzeszow, Poland
- Center for Diagnostic Medical Sonography, Rzeszow, Poland
- Institute of Medical Sciences, Medical College, University of Rzeszow, Poland
- Department of Obstetrics and Gynaecology, Agatharied Hospital, Germany
open access
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.
Keywords
morcellation; leiomyoma; endoscopy; hysterectomy
About this articleTitle
Laparoscopic in-bag morcellation — a comparison of two tissue extraction systems
Journal
Issue
Article type
Research paper
Pages
369-373
Published online
2022-02-16
Page views
4626
Article views/downloads
775
DOI
Pubmed
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
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