Vaginal Uterine Morcellation Within a Specimen Containment System: A Study of Bag Integrity

Solima, Eugenio; Scagnelli, Giuseppe; Austoni, V.; Natale, Andrea; Bertulessi, C; Busacca, Mauro; Vignali, Michele

doi:10.1016/j.jmig.2015.07.007

Cited by 49 publications

(24 citation statements)

References 6 publications

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“…The purpose of contained morcellation is to avoid dissemination of an occult malignancy, parasitic fibroids, and direct visceral injuries from morcellation. Two studies looking at bag integrity after morcellation showed that 9.2% and 33% showed spillage of dye [26,27], indicating a defect in this containment system.…”

Section: Discussionmentioning

confidence: 99%

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

Lum

Sokol

Berek

et al. 2016

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 99%

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

Lum

Sokol

Berek

et al. 2016

Journal of Minimally Invasive Gynecology

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“…[ 43 44 ] Another study that evaluated the integrity of the endoscopic bag after transvaginal in-bag morcellation was conducted by Solima et al . [ 45 ] The containment bags were found to be ruptured in 4 of 12 cases after filling up with methylene dye, demonstrating a potential risk of cancer cells spreading. Authors addressed the importance of development of new, resistant, and durable materials and devices.…”

Section: R Esult and Discussionmentioning

confidence: 99%

Outcome and management of uterine leiomyosarcoma treated following surgery for presumed benign disease: Review of literature

Tantitamit

Huang

Manopunya

et al. 2018

Gynecol Minim Invasive Ther

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Uterine leiomyosarcoma (uLMS) is a rare and aggressive cancer, usually diagnosed incidentally at the time of myomectomy or hysterectomy. There have been concerns for several years about the fact that the inadvertent disruption of occult uLMS may have a negative impact on patient outcome. This study reviews the outcome and management of patients with a diagnosis of uLMS after surgery for presumed benign disease. We conducted a literature search in which 47 published English-language articles were obtained for evaluation. A total of 23 studies with outcomes data were included. It is evidenced that patients who underwent surgery with tumor disruption resulted in poorer outcomes compared with en bloc tumor, especially by power morcellation. The power morcellation was associated with an increased risk of recurrence, shorten time to recurrence, and upstage after re-exploration. Early re-exploration and surgical staging are appreciated for better prognosis and may alter postoperative treatment. We also updated on the incidence and preoperative evaluation to assess the risk of patient and give an effective counseling.

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“…They reported no bag damage [ 36 ]. In comparison Solima et al reported a rate of 33% bag lesions after vaginal in-bag morcellation during total laparoscopic hysterectomy [ 37 ]. Especially in large uteri the risk of bag lesions seems to be higher.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Supracervical Hysterectomy with In-Bag Morcellation in Very Large Uterus

Krentel

Wilde

2017

Case Reports in Medicine

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Laparoscopic supracervical hysterectomy (LASH) is a safe and fast minimally invasive approach in hysterectomy. In order to extract the uterine body from the abdominal cavity, one condition for LASH is the morcellation of the tissue. The intra-abdominal dissemination of benign and occult malignant uterine cells is a possible risk of this method, which can be avoided by the use of special bags for laparoscopic in-bag morcellation. We present a case of laparoscopic supracervical hysterectomy with in-bag morcellation in a uterus of more than 1400 g. and describe that this minimal-access surgery is safe and feasible even in very large uteri. This case report is registered in Research Registry under the UIN researchregistry1810.

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Vaginal Uterine Morcellation Within a Specimen Containment System: A Study of Bag Integrity

Cited by 49 publications

References 6 publications

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

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

Outcome and management of uterine leiomyosarcoma treated following surgery for presumed benign disease: Review of literature

Laparoscopic Supracervical Hysterectomy with In-Bag Morcellation in Very Large Uterus

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