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An intrauterine cavity morcellator: A novel approach to high volume uterus morcellation. Ex-vivo study
Meir Pomeranz1,2, Ron Schonman1,2, Yael Yagur1,2
1Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Objective:
Uterine size is one of the essential factors determining the feasibility of a minimally invasive gynecologic surgery approach. A traditional electromechanical morcellator is a well-known tool but not without flaws. We aim to assess feasibility and safety of a novel intrauterine power morcellation device for uterine size reduction to overcome these limitations during hysterectomy.
Methods:
This single-arm, observational study was conducted in a single tertiary care medical center from April 2022 to July 2022. Feasibility and safety of a novel intrauterine morcellation device for uterine size reduction was tested in ten post-hysterectomy uteri (Ex-vivo).
Measurements And Main Results:
Ten uteri were examined in this trial. No major complications occurred during the procedure. All ten (10) uteri were successfully reduced in size (size reduction range was between 9% to 54%). The average resection time using the Heracure Device was 4.3 minutes (range: 1min- 10min). Mean uterus weight reduction was 21%, with a mean circumference reduction of 25%. No leakage was observed from the outer surface of the uterus/serosa after the saline injection post-procedure examination.
Conclusion:
In this novel experiment, we verified the feasibility and safety of the Heracure device for vaginal intra-uterine morcellation for uterine size reduction. This technique could enable rapid and easy removal of the uterus through the vaginal orifice.
Clinical Trial Registration:
Name of the registry: ClinicalTrials.gov; Number Identifier: NCT05332132.
