Vaginal Morcellation: A New Strategy for Large Gynecological Malignant Tumors Extraction. A Pilot Study

Favero, Giovanni; Antón, Cristina; Silva, A. Silva e; Dias, Altamiro Ribeiro; Araújo, Magali; Carvalho, J. P.

doi:10.1016/j.jmig.2012.08.435

Cited by 1 publication

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“…No outcomes data exist specifically for patients with leiomyosarcoma who have undergone vaginal morcellation, however, these may prove favorable compared with intraperitoneal approaches given that morcellation through this technique occurs outside the pelvis and, in the case of coring, leaves the outer uterine serosa intact [55]. Some authors also prefer vaginal morcellation as the vaginal vault is routinely included in the radiation field when this therapy is indicated in an adjuvant setting [114].…”

Section: Malignancy Diagnosed Following Morcellation: Subsequent Manamentioning

confidence: 99%

Risk, Risk Reduction and Management of Occult Malignancy Diagnosed after Uterine Morcellation: A Commentary

Lynam

Young

Morozov

et al. 2015

Womens Health (Lond Engl)

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Minimally invasive surgical techniques compared with laparotomy offer the advantages of less intraoperative blood loss, shorter hospitalization, fewer wound complications and faster return to baseline activity for both hysterectomy and myomectomy. While morcellation allows for the laparoscopic removal of large specimens, it may result in intraperitoneal dissemination of benign disease or upstaging of occult malignancy leading to compromised survival. There has been heightened scrutiny over appropriate patient selection and preoperative assessment in light of recent warnings against power morcellation issued by the US FDA. This commentary therefore summarizes the magnitude of such risks associated with uterine morcellation, current national regulatory statements and potential merits of risk-reducing approaches such as contained morcellation. The importance of patient counseling is underscored.

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Section: Malignancy Diagnosed Following Morcellation: Subsequent Manamentioning

confidence: 99%

Risk, Risk Reduction and Management of Occult Malignancy Diagnosed after Uterine Morcellation: A Commentary

Lynam

Young

Morozov

et al. 2015

Womens Health (Lond Engl)

View full text Add to dashboard Cite

show abstract

Vaginal Morcellation: A New Strategy for Large Gynecological Malignant Tumors Extraction. A Pilot Study

Cited by 1 publication

References 0 publications

Risk, Risk Reduction and Management of Occult Malignancy Diagnosed after Uterine Morcellation: A Commentary

Risk, Risk Reduction and Management of Occult Malignancy Diagnosed after Uterine Morcellation: A Commentary

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