Devassy, Rajesh and Devassy, Rohan Rajesh and de Wilde, Maya Sophie and Krentel, Harald and Adlan, Aizura and de la Roche, Luz Angela and De Wilde, Rudy Leon (2023) The Future of Minimal-Access Myoma Surgery with In-Bag Contained Morcellation. Journal of Clinical Medicine, 12 (11). ISSN 2077-0383, DOI https://doi.org/10.3390/jcm12113628.
Full text not available from this repository.Abstract
Contained electromechanical morcellation has emerged as a safety approach for laparoscopic myomatous tissue retrieval. This retrospective single-center analysis evaluated the bag deployment practicability and safety of electromechanical in-bag morcellation when used for big surgical benign specimens. The main age of patients was 39.3 years (range 21 to 71); 804 myomectomies, 242 supracervical hysterectomies, 73 total hysterectomies, and 1 retroperitoneal tumor extirpation were performed. A total of 78.7% of specimens weighed more than 250 g (n = 881) and 9% more than 1000 g. The largest specimens, weighing 2933 g, 3183 g, and 4780 g, required two bags for complete morcellation. Neither difficulties nor complications related to bag manipulation were recorded. Small bag puncture was detected in two cases, but peritoneal washing cytology was free of debris. One retroperitoneal angioleiomyomatosis and three malignancies were detected in histology (leiomyosarcoma = 2; sarcoma = 1); therefore, patients underwent radical surgery. All patients were disease-free at 3 years follow-up, but one patient presented multiple abdominal metastases of the leiomyosarcoma in the third year; she refused subsequent surgery and was lost from follow-up. This large series demonstrates that laparoscopic bag morcellation is a safe and comfortable method to remove large and giant uterine tumors. Bag manipulation takes only a few minutes, and perforations rarely occur and are easy to detect intraoperatively. This technique did not result in the spread of debris during myoma surgery, potentially avoiding the additional risk of parasitic fibroma or peritoneal sarcoma.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | morcellation; myomatous tissue; contained closed bags; specimen extraction; leiomyoma; laparoscopy |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Obstetrics & Gynaecology Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 29 Jul 2025 01:05 |
| Last Modified: | 29 Jul 2025 01:05 |
| URI: | http://eprints.um.edu.my/id/eprint/50778 |
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