Vaginal power morcellation using a contained bag system: a novel surgical technique

Area of Science:

• Gynecologic surgery
• Minimally invasive procedures
• Surgical technology

Background:

• Containment bags are recognized for limiting tissue dissemination during manual or power morcellation.
• The FDA recommended laparoscopic power morcellation within a tissue containment system in 2020 to reduce malignancy spread risks.

Purpose of the Study:

• To present a novel surgical technique for vaginal power morcellation.
• To demonstrate the procedure using an endoscopic pouch without extending existing incisions.

Main Methods:

• A video article detailing the technique of vaginal power morcellation.
• The procedure was performed through the vaginal introit.

Main Results:

• Vaginal power morcellation was completed with an additional operative time of only 13 minutes.
• The technique was successfully performed via the vaginal approach.

Conclusions:

• Vaginal power morcellation within a contained bag system is technically feasible and efficient.
• This approach may prevent intraperitoneal tissue fragment dissemination.
• The technique minimizes the need for additional surgical incisions.