Uncontained Compared With Contained Power Morcellation in Total Laparoscopic Hysterectomy

Abstract

II.

In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

“…Nevertheless, application of a bag system consumes time, which was reported to prolong surgery by 20-30 min as compared to retrospective controls with uncontained morcellation [14,19,20]. In the present study, median total time associated with the bag use was only 10 min, confirming the positive experience from our pilot work [16].…”

Impact of the 2014 Food and Drug Administration Warnings Against Power Morcellation

“…These techniques have yet to be studied in depth but represent creative and potentially safer methods of tissue specimen extraction using a minimally invasive approach. In-bag power morcellation has been noted to increase operating time by 20 to 26 minutes [24,25]. The purpose of contained morcellation is to avoid dissemination of an occult malignancy, parasitic fibroids, and direct visceral injuries from morcellation.…”

Clinical Characteristics and Prognosis of Unexpected Uterine Sarcoma After Hysterectomy for Presumed Myoma With and Without Transvaginal Scalpel Morcellation

“…37,38 In their studies, Vargas et al 39 and Winner et al 40 found that contained morcellation during laparoscopic hysterectomy was associated with a 20-minute increase in operative time and with no difference in other perioperative outcomes. The increase of 20 minutes may diminish across time when surgeons become familiar with this new technique.…”