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Related Experiment Videos

Transvaginal morcellation.

Lindsay Clark Donat1, Mitchell Clark1, Amanda M Tower1

  • 1Department of Obstetrics and Gynecology, Bridgeport Hospital, Yale New Haven Health System, Connecticut.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|May 26, 2015
PubMed
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Transvaginal uterine morcellation is a safe method for removing large uterine fibroids. This technique offers a viable alternative to abdominal surgery for select patients.

Area of Science:

  • Gynecologic Surgery
  • Minimally Invasive Procedures
  • Uterine Pathology

Background:

  • Transvaginal uterine morcellation has a long history but faces scrutiny due to concerns about occult malignancies.
  • Existing literature supports its safety and feasibility, yet questions persist regarding its oncologic safety.

Purpose of the Study:

  • To evaluate the safety and outcomes of transvaginal uterine morcellation at a single institution.
  • To review and synthesize published literature on transvaginal morcellation techniques and outcomes.

Main Methods:

  • Retrospective case series of 64 women undergoing hysterectomy for leiomyomas with transvaginal morcellation (2011-2013).
  • Literature review of PubMed (1970-2014) for studies on transvaginal morcellation outcomes.
  • Data collected included demographics, operative time, blood loss, and specimen weight.
Keywords:
FibroidLaparoscopic abdominal vaginal hysterectomyLeiomyomaTransvaginal morcellation

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Main Results:

  • No surgical complications were directly attributed to the morcellation procedure in the case series.
  • Mean operative time was 210 minutes, mean blood loss 153 mL, and mean uterine weight 608 g.
  • Literature review identified 22 articles detailing 1953 morcellated specimens.

Conclusions:

  • Transvaginal uterine morcellation is a safe alternative to laparotomy for removing large uterine specimens in carefully selected patients.
  • The technique demonstrates feasibility and a low complication rate in the studied cohort.