Gynecol Surg DOI 10.1007/s10397-015-0878-4
REVIEW ARTICLE
Options on fibroid morcellation: a literature review Hans Brölmann & Vasilios Tanos & Grigoris Grimbizis & Thomas Ind & Kevin Philips & Thierry van den Bosch & Samir Sawalhe & Lukas van den Haak & Frank-Willem Jansen & Johanna Pijnenborg & Florin-Andrei Taran & Sara Brucker & Arnaud Wattiez & Rudi Campo & Peter O’Donovan & Rudy Leon de Wilde & On behalf of the European Society of Gynaecological Endoscopy (ESGE) steering committee on fibroid morcellation
Received: 8 December 2014 / Accepted: 1 January 2015 # The Author(s) 2015. This article is published with open access at Springerlink.com
Abstract In laparoscopy, specimens have to be removed from the abdominal cavity. If the trocar opening or the vaginal outlet is insufficient to pass the specimen, the specimen needs to be reduced. The power morcellator is an instrument with a fast rotating cylindrical knife which aims to divide the tissue into smaller pieces or fragments. The Food and Drug Administration (FDA) issued a press release in April 2014 that H. Brölmann (*) Department of Gynaecology, VU University Medical Centre, de Boelelaan 1117, 1181HV Amsterdam, The Netherlands e-mail: [email protected] V. Tanos Department of Obstetrics and Gynaecology, Aretaeio Hospital, St George’s Medical School, Nicosia University, Nicosia, Cyprus e-mail: [email protected]
discouraged the use of these power morcellators. This article has the objective to review the literature related to complications by power morcellation of uterine fibroids in laparoscopy and offer recommendations to laparoscopic surgeons in gynaecology. This project was initiated by the executive board of the European Society of Gynaecological Endoscopy. A steering committee on fibroid morcellation was installed and L. van den Haak : F.
REVIEW ARTICLE
Options on fibroid morcellation: a literature review Hans Brölmann & Vasilios Tanos & Grigoris Grimbizis & Thomas Ind & Kevin Philips & Thierry van den Bosch & Samir Sawalhe & Lukas van den Haak & Frank-Willem Jansen & Johanna Pijnenborg & Florin-Andrei Taran & Sara Brucker & Arnaud Wattiez & Rudi Campo & Peter O’Donovan & Rudy Leon de Wilde & On behalf of the European Society of Gynaecological Endoscopy (ESGE) steering committee on fibroid morcellation
Received: 8 December 2014 / Accepted: 1 January 2015 # The Author(s) 2015. This article is published with open access at Springerlink.com
Abstract In laparoscopy, specimens have to be removed from the abdominal cavity. If the trocar opening or the vaginal outlet is insufficient to pass the specimen, the specimen needs to be reduced. The power morcellator is an instrument with a fast rotating cylindrical knife which aims to divide the tissue into smaller pieces or fragments. The Food and Drug Administration (FDA) issued a press release in April 2014 that H. Brölmann (*) Department of Gynaecology, VU University Medical Centre, de Boelelaan 1117, 1181HV Amsterdam, The Netherlands e-mail: [email protected] V. Tanos Department of Obstetrics and Gynaecology, Aretaeio Hospital, St George’s Medical School, Nicosia University, Nicosia, Cyprus e-mail: [email protected]
discouraged the use of these power morcellators. This article has the objective to review the literature related to complications by power morcellation of uterine fibroids in laparoscopy and offer recommendations to laparoscopic surgeons in gynaecology. This project was initiated by the executive board of the European Society of Gynaecological Endoscopy. A steering committee on fibroid morcellation was installed and L. van den Haak : F.
