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A self-developed contained bag for laparoscopic myomectomy morcellation
Ying Wei1, Xuelan Zhou2, Qiong-Zhen Ren3
1Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Soochow University, Suzhou, China, China.
Ginekologia Polska
|March 22, 2022
Summary
A new contained collection bag for power morcellation during laparoscopic myomectomy (LM) effectively prevents tumor cell spread. This safe and feasible system is recommended for gynecologic surgeons.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Procedures
- Surgical Oncology
Background:
- Open power morcellation during laparoscopic myomectomy (LM) risks disseminating benign or occult malignant tumor cells.
- Gynecologic surgeons increasingly favor contained power morcellation techniques.
Purpose of the Study:
- To evaluate the safety and efficacy of a newly designed contained collection bag system for power morcellation during LM.
Main Methods:
- A single-arm trial involving 20 women undergoing LM with the new collection bag.
- Comparison with a historical control group of 30 women who underwent open power morcellation.
- Analysis of surgical data, including myoma size, operation duration, and intraperitoneal fluid cell counts.
Main Results:
- No significant differences in uterus or myoma size between groups.
- The new bag system effectively contained tissue fragments, with no leaks or lesions found.
- Intraperitoneal fluid cell counts remained low (<10^5-10^6/L), and no malignant tumors were detected.
- The experimental group's operation time was 18 minutes longer (p=0.00).
Conclusions:
- The newly designed collection bag system is effective, feasible, and safe for power morcellation during LM.
- This system addresses concerns regarding tumor cell dissemination in gynecologic surgery.
