Single-site in-bag morcellation achieved via direct puncture of the pneumoperitoneum cap, a cordless electric morcellator, and a 5-mm flexible scope

In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

“…Technical alternatives consist in vaginal, single-site, or manual open concepts for in-bag morcellation [22][23][24][25][26]. Vaginal access would have been possible for only one of our patients undergoing total hysterectomy, while it was not applicable for all others, operated upon supracervically.…”

How to deal with challenges in laparoscopic hysterectomy

“…However, this technique carries the risk of dissemination and trocar site metastasis. 16 Another described technique uses the surgical glove, whereby the main opening is the glove opening and the second is made in the thumb of the glove. These openings are then brought through the umbilical incision and left lower abdominal incisions.…”

“…However, this technique carries the risk of microscopic tissue dissemination. 16 Paul et al 17 designed a bag in which one of the two openings is ligated before removing the bag through the port.…”

“…This prevents leakage or dissemination of cells. 16 Several types of in-bag morcellation devices are available on the market.…”

Contained Morcellation: Review of Current Methods and Future Directions

“…Using a cordless electric morcellator, the LiNA Xcise (LiNA Medical, Glostrup, Denmark), introduced through a 5-mm trocar, uterine specimens of 12 patients were morcellated in a contained fashion without any complications (30). As it requires neither bag penetration nor piercing with trocar, this technique appears as a reliable approach.…”