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Minim Invasive Ther Allied Technol. 2016 Aug;25(4):203-9. doi: 10.1080/13645706.2016.1176932. Epub 2016 May 18.

Power morcellation inside a secure endobag: a pilot study.

Author information

1
a Department of Obstetrics and Gynecology , Community Hospital Dormagen , Dormagen , Germany ;
2
b Department of Obstetrics and Gynecology , University Hospitals Schleswig-Holstein , Campus Kiel , Kiel , Germany ;
3
c Department of Anesthesiology , Community Hospital Dormagen , Germany ;
4
d Department of Obstetrics and Gynecology , University Witten/Herdecke , Witten , Germany ;
5
e Department of Obstetrics and Gynecology , University of Witten/Herdecke, Community Hospital Dormagen , Dormagen , Germany.

Abstract

INTRODUCTION:

Unprotected power morcellation can lead to a spread of previously undiagnosed malignancy. We present a new containment bag with two closable trocar insertion sites to reduce this risk. This pilot study was designed to assess the feasibility of this device under everyday conditions.

MATERIAL AND METHODS:

The containment bag was used in ten laparoscopic supracervical hysterectomies. We evaluated time requirement for bag insertion into the abdominal cavity and in-bag morcellation. A 2000 ml polyurethane morcellation bag was used for all interventions. All surgeries were carried out in a three-trocar setting.

RESULTS:

We carried out ten supracervical hysterectomies. No intraoperative complications and no bag ruptures occurred. The meantime requirement to insert the bag and prepare the specimen for morcellation was 10.5 min (range, 7-19 min). The mean specimen weight was 191.9 g (range, 32-710 g). Mean morcellation time was 10.5 min (range, 3-28 min), mean weight of remaining tissue and fluid in the bag after morcellation was 12.1 g (range, 7-19 g).

CONCLUSIONS:

The presented data demonstrate that the endobag can be successfully applied in the clinical routine. Further studies are required to evaluate additional characteristics, such as individual learning curve and time requirements.

KEYWORDS:

Morcellation; improving power-morcellation; in-bag morcellation; myoma; subtotal hysterectomy

PMID:
27192613
DOI:
10.1080/13645706.2016.1176932
[Indexed for MEDLINE]

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