Innovative technique for enclosed morcellation using a surgical glove

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gynecologic Surgery

Background:

• Contained power morcellation is crucial in laparoscopic surgery to prevent tissue dissemination.
• Existing containment methods carry risks of bag perforation and leakage.
• A need exists for a safer, more reliable enclosed morcellation technique.

Purpose of the Study:

• To describe an innovative technique for enclosed morcellation using a surgical glove.
• To evaluate the safety and feasibility of this glove-based morcellation method.
• To reduce risks associated with traditional contained power morcellation.

Main Methods:

• A surgical glove was used as an enclosed containment system during multiport laparoscopic surgery.
• The specimen was placed in the glove, which was then insufflated and exteriorized.
• A power morcellator was inserted through the glove's thumb for specimen extraction, ensuring complete enclosure.

Main Results:

• Thirty procedures involving multiport laparoscopic myomectomy and morcellation were successfully completed.
• No intraoperative complications or bag ruptures were observed during the study.
• Median operative time was 85 minutes, with morcellation preparation and execution times detailed.

Conclusions:

• A disposable latex glove provides an effective and safe enclosed morcellation method.
• This technique significantly decreases the risks of bag perforation and leakage compared to prior methods.
• The innovative glove technique enhances safety in laparoscopic procedures requiring tissue morcellation.