Display options
Share it on

Front Surg. 2017 Mar 14;4:15. doi: 10.3389/fsurg.2017.00015. eCollection 2017.

Contained Morcellation: Review of Current Methods and Future Directions.

Frontiers in surgery

Enes Taylan, Cagdas Sahin, Burak Zeybek, Ali Akdemir

Affiliations

  1. Laboratory of Molecular Reproduction and Fertility Preservation, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, New York Medical College, New York, NY, USA; Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
  2. Department of Obstetrics and Gynecology, Ege University School of Medicine , Izmir , Turkey.
  3. Department of Obstetrics and Gynecology, University of Texas Medical Branch , Galveston, TX , USA.

PMID: 28352629 PMCID: PMC5348539 DOI: 10.3389/fsurg.2017.00015

Abstract

Power morcellation of surgical specimen during laparoscopic surgery is a practical technology that provides the opportunity to perform several minimally invasive procedures. However, this technology brought forward additional risks and complications associated with dissemination of both benign and malignant tissues inside the abdominal cavity. Based on startling cases, Food and Drug Administration (FDA) announced a discouraging statement on the use of power morcellators that decreased the number of minimally invasive approaches in the following period. As a response to these concerns and negative impacts of the FDA statement, researchers developed several new approaches resulting in contained or in-bag morcellation methods. In this review, we aimed to discuss these current methods and provide an insight for future developments.

Keywords: contained morcellation; enclosed morcellation; hysterectomy; in-bag morcellation; laparoscopy; myomectomy

References

  1. Obstet Gynecol. 2015 May;125(5):1145-9 - PubMed
  2. Obstet Gynecol. 2015 Dec;126(6):1174-80 - PubMed
  3. J Minim Invasive Gynecol. 2011 Jan-Feb;18(1):1-3 - PubMed
  4. Cancer. 2008 Feb 15;112(4):820-30 - PubMed
  5. Obstet Gynecol. 2015 Oct;126(4):834-8 - PubMed
  6. J Minim Invasive Gynecol. 2016 May-Jun;23(4):578-81 - PubMed
  7. JAMA Oncol. 2015 Apr;1(1):69-77 - PubMed
  8. J Minim Invasive Gynecol. 2007 Mar-Apr;14(2):156-60 - PubMed
  9. Obstet Gynecol. 2009 Sep;114(3):611-5 - PubMed
  10. Am J Obstet Gynecol. 2016 Jan;214(1):98.e1-98.e13 - PubMed
  11. Int J Gynaecol Obstet. 1997 Sep;58(3):299-303 - PubMed
  12. Gynecol Oncol. 2015 Feb;136(2):274-7 - PubMed
  13. J Minim Invasive Gynecol. 2014 Jul-Aug;21(4):517-30 - PubMed
  14. Surg Endosc. 2014 Jun;28(6):1949-53 - PubMed
  15. Am J Obstet Gynecol. 2016 Feb;214(2):257.e1-6 - PubMed
  16. J Minim Invasive Gynecol. 2014 May-Jun;21(3):377-83 - PubMed
  17. J Minim Invasive Gynecol. 2016 Feb 1;23(2):206-14 - PubMed
  18. Gynecol Oncol. 2015 Jun;137(3):589-90 - PubMed
  19. Obstet Gynecol. 2009 Nov;114(5):1156-8 - PubMed
  20. J Minim Invasive Gynecol. 2015 Mar-Apr;22(3):433-8 - PubMed
  21. J Minim Invasive Gynecol. 2010 May-Jun;17(3):374-8 - PubMed
  22. Arch Gynecol Obstet. 2016 Jul;294(1):83-93 - PubMed
  23. J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):935-9 - PubMed
  24. Gynecol Oncol. 2012 Sep;126(3):443-7 - PubMed
  25. Eur J Obstet Gynecol Reprod Biol. 2016 Jun;201:126-30 - PubMed
  26. J Minim Invasive Gynecol. 2015 Nov-Dec;22(7):1244-6 - PubMed
  27. JSLS. 2014 Jul-Sep;18(3):null - PubMed
  28. J Minim Invasive Gynecol. 2014 May-Jun;21(3):486-91 - PubMed
  29. J Minim Invasive Gynecol. 2016 Feb 1;23(2):257-60 - PubMed
  30. Obstet Gynecol. 2014 Oct;124(4):787-93 - PubMed
  31. Fertil Steril. 2016 May;105(5):1369-76 - PubMed
  32. Gynecol Oncol Case Rep. 2013 Mar 16;5:19-21 - PubMed
  33. Gynecol Oncol. 2004 Apr;93(1):204-8 - PubMed
  34. Int J Gynecol Cancer. 2017 Jan;27(1):189-192 - PubMed
  35. Am J Obstet Gynecol. 2015 Apr;212(4):546.e1-4 - PubMed
  36. JSLS. 2012 Oct-Dec;16(4):519-24 - PubMed
  37. Obstet Gynecol. 1993 Mar;81(3):471-4 - PubMed
  38. Obstet Gynecol. 2003 Nov;102(5 Pt 2):1125-7 - PubMed
  39. PLoS One. 2012;7(11):e50058 - PubMed
  40. J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):951-3 - PubMed

Publication Types