In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

Rimbach, S.; Schempershofe, Miriam

doi:10.1016/j.jmig.2017.08.096

Cited by 2 publications

(2 citation statements)

References 21 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although fixation of the mesh to the iliopectineal ligaments and the cervix or the vaginal cuff during LP, with or without concomitant LSH, is similar, two factors can prolong operative time: dissection of adhesions after previous removal of the uterus, and time-consuming procedures like morcellation of the uterine corpus. According to the literature, bag use (in/out) and morcellation lasts approximately 19.5 min, but with a wide range of 8 to 82 min [ 30 ]. In our study, we did not confirm a significant increase of operative time when morcellation was used.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Pectopexy—CUSUM Learning Curve and Perioperative Complications Analysis

Szymczak

Grzybowska

Sawicki

et al. 2021

JCM

View full text Add to dashboard Cite

The study aimed to examine the learning curve and perioperative complications for laparoscopic pectopexy (LP). A total of 60 women with stage II–IV apical prolapse who underwent LP were dichotomized into groups: LSH(+) with concomitant laparoscopic supracervical hysterectomy (LSH), LSH(−) after previous supracervical/total hysterectomy. Operative time, estimated blood loss and hospitalization length were evaluated with cumulative sum (CUSUM) analysis and the Kwiatkowski–Phillips–Schmidt–Shin (KPSS) test, separately for two surgeons (A and B). Intraoperative and perioperative complications according to the Clavien–Dindo (C–D) classification were analyzed. Mean operative time, change in hemoglobin level, and postoperative hospital stay were 143.5 ± 23.1 min—1.5 ± 0.5g/dL and 2.5 ± 0.9 days, respectively. LSH during pectopexy was associated with longer operative time (p = 0.01) but not with higher intraoperative bleeding or prolonged hospital stay. Severe complications rate was low (1.7%) with one bowel injury in LSH(−) (C–D grade IIIb). No C–D grade II, IV and V complications were found. Conversion to open pectopexy, return to the operating room or blood transfusion were not required. The KPSS test showed that a steady operative time for Surgeon A was achieved after 28 procedures. A proficiency for laparoscopic pectopexy based on CUSUM analysis was observed after 38–40 procedures.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic Pectopexy—CUSUM Learning Curve and Perioperative Complications Analysis

Szymczak

Grzybowska

Sawicki

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…Some observational studies about endoscopic bag have already been conducted and seem promising [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Inbag Morcellation Applied to the Laparoscopic Surgery of Leiomyoma: A Randomized Controlled Trial

Bensouda-Miguet

Nohuz

Cerruto

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

Objective. To evaluate the efficacy and safety of an endoscopic bag during laparoscopic morcellation of leiomyoma or myomatous uterus. Materials and Methods. A total of 48 patients with symptomatic leiomyoma were randomized for laparoscopic morcellation in two groups: group A with a specific endoscopic bag or group B without any bag. The primary outcome measure was the detection of smooth muscle cells from washing after power morcellation determined by peritoneal cytology and immunohistochemistry (IHC). Results. Cytology and IHC from group A did not revealed any smooth muscle cells, while 29% of cases (7/24) from group B were positive ( p = .009 ). The duration of the surgical procedure was the same in both groups. The duration of positioning the bag did not change significantly during the study. Only in one case the use of the bag was difficult due to a low pneumoperitoneum. Conclusions. The use of a morcellation bag is efficient to prevent the spread of smooth muscle cells during the morcellation of leiomyoma or myomatous uterus. This study confirms the feasibility and the safety of the laparoscopic inbag morcellation versus open morcellation.

show abstract

In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

Cited by 2 publications

References 21 publications

Laparoscopic Pectopexy—CUSUM Learning Curve and Perioperative Complications Analysis

Laparoscopic Pectopexy—CUSUM Learning Curve and Perioperative Complications Analysis

Inbag Morcellation Applied to the Laparoscopic Surgery of Leiomyoma: A Randomized Controlled Trial

Contact Info

Product

Resources

About