The Morcellation Debate: The History and the Science

Intracorporeal electromechanical morcellation has been available for nearly 2 decades, and has allowed hundreds of thousands of women to undergo hysterectomy and myomectomy in a minimally invasive approach. Despite gains in postoperative pain, complications, quality of life, hospital stay, and retur...

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Bibliographic Details
Published in:	Clinical obstetrics and gynecology Vol. 58; no. 4; pp. 710 - 717
Main Author:	ADELMAN, MARISA R
Format:	Journal Article
Language:	English
Published:	United States Copyright Wolters Kluwer Health, Inc. All rights reserved 01-12-2015
Subjects:	Female Humans Hysterectomy - adverse effects Hysterectomy - methods Incidence Informed Consent Laparoscopy - adverse effects Leiomyoma - pathology Leiomyoma - surgery Leiomyosarcoma - epidemiology Leiomyosarcoma - pathology Leiomyosarcoma - surgery Morcellation - adverse effects Neoplasm Seeding Neoplasm Staging Patient Selection Risk Assessment Risk Factors Uterine Myomectomy - methods Uterine Neoplasms - epidemiology Uterine Neoplasms - pathology Uterine Neoplasms - surgery
Online Access:	Get full text
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Summary:	Intracorporeal electromechanical morcellation has been available for nearly 2 decades, and has allowed hundreds of thousands of women to undergo hysterectomy and myomectomy in a minimally invasive approach. Despite gains in postoperative pain, complications, quality of life, hospital stay, and return to work, it has recently come under attack. The risk of inadvertent morcellation of a uterine malignancy, and subsequent dissemination of occult cancer, must be balanced by the risks of increased numbers of laparotomies. Power morcellation should be available to appropriate surgical candidates.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0009-9201 1532-5520
DOI:	10.1097/GRF.0000000000000150