Electromechanical Morcellators in Minimally Invasive Gynecologic Surgery: An Update

Assessing Basic “Physiology” of the Morcellation Process and Tissue Spread: A Time-action Analysis

“…The Gynecare Morcellex (Ethicon, Inc, Somerville, NJ) and LiNA Xcise (LiNA Medical, Glostrup, Denmark) were used during the procedures. No distinction was made in the data between the type of morcellator used because the Morcellex and LiNA Xcise rely on the same ''motor peeling'' working principle; have by approximation a similar instrument diameter, blade rotation speed, and weight; and are disposable [13]. Intraoperative data and basic patient characteristics were gathered.…”

A new in-bag system to reduce the risk of tissue morcellation: development and experimental evaluation during laparoscopic hysterectomy

“…Among other, i.e., mainly mechanical, risks [5,6], the potential of harmful cell spreading from the morcellated tissue throughout the abdominal cavity was reported. When seeding, this may lead to benign conditions such as so-called parasitic leiomyoma or peritoneal adenomyosis [7][8][9][10][11], but may also result in peritoneal dissemination of inadvertently morcellated malignancy, e.g., uterine sarcoma mistaken for benign leiomyoma [11][12][13].…”

Gynecare Morcellex Sigma®

“…New trends in treatment approaches for intramural and subserosal uterine myomas, and most importantly the introduction of laparoscopic supracervical hysterectomy, required development of new advanced systems, which further simplified the application of safe and efficient morcellators [1,2].…”

“…In such cases, the use of a well-designed morcellator is paramount for the ease of the patient (i.e., less operation/anesthesia time, no need for laparotomy, etc.) and for the surgeon (i.e., lightweight-479 gr, ergonomically adapted) [2][3][4].…”

“…The Gynecare Morcellex Sigma is a brand new tissue morcellator designed for the above-mentioned purposes [2,4]. The fibroid uterus can have multiple myomas which vary in size, shape, and consistency.…”