Power Morcellation in a Specimen Bag Aarathi Cholkeri-Singh, MD, FACOG*, and Charles E. Miller, MD From the Advanced Gynecologic Surgery Institute, Naperville, Illinois (both authors).
ABSTRACT Study Objective: To show a technique of power morcellation within a rip-stop nylon specimen bag. Design: Step-by-step explanation of the technique. Background: The Food and Drug Administration recently warned against the use of electromechanical power morcellation for hysterectomy and myomectomy because of potential tissue dissemination within the abdomen and pelvis. If the tumor is malignant, this technique increases the staging of the patient and may further warrant re-operation and chemotherapy. If the tumor is benign, the patient is at risk for parasitic myomas that may lead to, but are not limited to, pain and/or bowel obstruction. Intervention: To reduce the preceding risks, we reviewed the techniques of power morcellation within a specimen bag used by other surgeons across the United States. This technique was modified to incorporate a more durable bag made out of ripstop nylon. Laparoscopic supracervical hysterectomy during power morcellation was performed, along with an introduction to incorporating power morcellation of multiple myomas during a laparoscopic myomectomy. Conclusion: This technique of power morcellation within a rip-stop nylon bag minimizes the risk of inadvertent tissue spread. This allows the patient an opportunity to undergo minimally invasive surgery for hysterectomy and myomectomy. Journal of Minimally Invasive Gynecology (2015) 22, 160–160 Ó 2015 AAGL. All rights reserved. Keywords:
DISCUSS
Myoma; Myomectomy; Power morcellation; Specimen bag hysterectomy Use your Smartphone to scan this QR code and connect to the discussion forum for this article now*
You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-22-2-JMIG-D-14-00488
* Download a free QR Code scanner by searching for ‘‘QR scanner’’ in your smartphone’s app store or app marketplace.
Supplementary data Supplementary data related to this article can be found at http://dx.doi.org/10.1016/j.jmig.2014.10.012.
Corresponding author: Aarathi Cholkeri-Singh, MD, FACOG, 120 Olser Drive, Suite 100, Naperville, IL 60540. E-mail: [email protected] 1553-4650/$ - see front matter Ó 2015 AAGL. All rights reserved. http://dx.doi.org/10.1016/j.jmig.2014.10.012
Submitted September 30, 2014. Accepted for publication October 15, 2014. Available at www.sciencedirect.com and www.jmig.org
ABSTRACT Study Objective: To show a technique of power morcellation within a rip-stop nylon specimen bag. Design: Step-by-step explanation of the technique. Background: The Food and Drug Administration recently warned against the use of electromechanical power morcellation for hysterectomy and myomectomy because of potential tissue dissemination within the abdomen and pelvis. If the tumor is malignant, this technique increases the staging of the patient and may further warrant re-operation and chemotherapy. If the tumor is benign, the patient is at risk for parasitic myomas that may lead to, but are not limited to, pain and/or bowel obstruction. Intervention: To reduce the preceding risks, we reviewed the techniques of power morcellation within a specimen bag used by other surgeons across the United States. This technique was modified to incorporate a more durable bag made out of ripstop nylon. Laparoscopic supracervical hysterectomy during power morcellation was performed, along with an introduction to incorporating power morcellation of multiple myomas during a laparoscopic myomectomy. Conclusion: This technique of power morcellation within a rip-stop nylon bag minimizes the risk of inadvertent tissue spread. This allows the patient an opportunity to undergo minimally invasive surgery for hysterectomy and myomectomy. Journal of Minimally Invasive Gynecology (2015) 22, 160–160 Ó 2015 AAGL. All rights reserved. Keywords:
DISCUSS
Myoma; Myomectomy; Power morcellation; Specimen bag hysterectomy Use your Smartphone to scan this QR code and connect to the discussion forum for this article now*
You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-22-2-JMIG-D-14-00488
* Download a free QR Code scanner by searching for ‘‘QR scanner’’ in your smartphone’s app store or app marketplace.
Supplementary data Supplementary data related to this article can be found at http://dx.doi.org/10.1016/j.jmig.2014.10.012.
Corresponding author: Aarathi Cholkeri-Singh, MD, FACOG, 120 Olser Drive, Suite 100, Naperville, IL 60540. E-mail: [email protected] 1553-4650/$ - see front matter Ó 2015 AAGL. All rights reserved. http://dx.doi.org/10.1016/j.jmig.2014.10.012
Submitted September 30, 2014. Accepted for publication October 15, 2014. Available at www.sciencedirect.com and www.jmig.org
