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Contained morcellation using the GelPOINT advance access platforms and 3M Steri-Drape endobag.
Stephen Kujansuu1, Bijan W Salari2, Michael Galloway2
1Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Ohio; Wright-Patterson USAF Medical Center, Wright-Patterson Air Force Base, Ohio.
Fertility and Sterility
|March 17, 2015
Summary
This study introduces a safe, contained method for laparoscopic tissue morcellation using the GelPOINT System and Steri-Drape endobag, crucial for preventing sarcoma spread during hysterectomy and myomectomy.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Surgical Oncology
- Medical Device Technology
Background:
- Laparoscopic hysterectomy and myomectomy are common procedures.
- Unsuspected uterine sarcoma poses a risk of tumor dissemination during morcellation.
- Current morcellation techniques may not always ensure containment.
Observation:
- A novel technique for contained laparoscopic tissue morcellation was developed.
- The method utilizes the GelPOINT Platform incision extender system and GelSeal Cap (GSP) Advanced Access Platform with a 3M Steri-Drape endobag.
- Simulation training on pelvic simulators and cadavers was employed to refine the technique.
Findings:
- The GSP and endobag system facilitates safe intracorporeal and extracorporeal morcellation.
- Simulation training effectively accelerated the learning curve for applying the technique to live patients.
- The method allows for easy and safe removal of laparoscopic specimens.
Implications:
- This contained morcellation technique offers a safer alternative for power or hand morcellation in laparoscopic procedures.
- It significantly minimizes the risk of tissue seeding and dissemination of unsuspected malignancies.
- The described method enhances patient safety in gynecologic laparoscopic surgery.