Related Experiment Video

Updated: Feb 15, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

536

In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

Stefan Rimbach1,2, Miriam Schempershofe1,2

  • 1Department of Gynecology and Obstetrics, Agatharied Hospital, Norbert-Kerkel-Platz, 83734 Hausham, Germany.

Biomed Research International
|January 11, 2018
PubMed

Insights

Routine use of in-bag morcellation during laparoscopic hysterectomy effectively contained tissue, preventing spread of unsuspected malignancy. This safe containment technique demonstrated a high technical success rate in the study cohort.

Area of Science:

  • Gynecology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic hysterectomy carries a risk of disseminating unsuspected malignant cells through tissue morcellation.
  • Contained morcellation techniques aim to mitigate this risk by enclosing the specimen within a bag during the procedure.

Purpose of the Study:

  • To evaluate the safety and efficacy of routine in-bag morcellation during laparoscopic hysterectomy.
  • To assess the technical success rate and potential for cell spread with the More-Cell-Safe system.

Main Methods:

  • A consecutive cohort of 49 patients undergoing laparoscopic hysterectomy utilized routine in-bag morcellation.
  • The More-Cell-Safe containment system was employed, and outcomes including operative time, specimen weight, and residual tissue were recorded.
  • Peritoneal washings were analyzed for malignant or smooth muscle cells post-morcellation.

Main Results:

  • No cases of unsuspected malignancy were identified.
  • The technical success rate for contained morcellation was 93.9%.
  • Morcellation time correlated with uterine volume and specimen weight but not BMI; peritoneal washings were negative for malignant cells.

Conclusions:

  • Routine in-bag morcellation is a safe and effective method for laparoscopic hysterectomy, significantly reducing the risk of spreading unsuspected malignant cells.
  • The More-Cell-Safe system provides reliable containment, with a high success rate and no evidence of cell dissemination in this cohort.

More Related Videos

Routine Screening Method for Microparticles in Platelet Transfusions09:49

Routine Screening Method for Microparticles in Platelet Transfusions

Published on: January 31, 2018

16.6K
Two Methods for Establishing Primary Human Endometrial Stromal Cells from Hysterectomy Specimens09:15

Two Methods for Establishing Primary Human Endometrial Stromal Cells from Hysterectomy Specimens

Published on: May 23, 2014

23.7K

Related Concept Videos

Longitudinal Research02:20

Longitudinal Research

Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.5K
Social Facilitation01:04

Social Facilitation

Not all intergroup interactions lead to negative outcomes. Sometimes, being in a group situation can improve performance. Social facilitation occurs when an individual performs better when an audience is watching than when the individual performs the behavior alone. This typically occurs when people are performing a task for which they are skilled.
36.6K
Attitudes01:54

Attitudes

Attitude is our evaluation of a person, an idea, or an object. We have attitudes for many things ranging from products that we might pick up in the supermarket to people around the world to political policies. Typically, attitudes are favorable or unfavorable: positive or negative (Eagly & Chaiken, 1993). And, they have three components: an affective component (feelings), a behavioral component (the effect of the attitude on behavior), and a cognitive component (belief and knowledge;...
33.2K
Self-Evaluation: Self-Enhancement and Self-Verification03:00

Self-Evaluation: Self-Enhancement and Self-Verification

Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.8K
Predator-Prey Interactions02:39

Predator-Prey Interactions

Predators consume prey for energy. Predators that acquire prey and prey that avoid predation both increase their chances of survival and reproduction (i.e., fitness). Routine predator-prey interactions elicit mutual adaptations that improve predator offenses, such as claws, teeth, and speed, as well as prey defenses, including crypsis, aposematism, and mimicry. Thus, predator-prey interactions resemble an evolutionary arms race.
21.8K