First clinical experiences using a new in-bag morcellation system during laparoscopic hysterectomy

Rimbach, S.; Holzknecht, Annette; Schmedler, C; Nemes, Constanze; Offner, Felix

doi:10.1007/s00404-015-3986-5

Cited by 28 publications

(38 citation statements)

References 40 publications

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“…In the present study, median total time associated with the bag use was only 10 min, confirming the positive experience from our pilot work [16]. It ranged from 5 to 28 min, which was significantly correlated with uterine size, ranging from 18 to 1110 g (median 195 g).…”

Section: Discussionsupporting

confidence: 88%

“…In contrast to our pilot experiences [16], uterine size was not limiting applicability of contained morcellation in this series, though the largest specimen weighed 1110 g. Despite the surgeon's subjective impression, there was no statistically detectable correlation of difficulties, measurable in procedure duration, with patient's BMI. Problems in handling occurred with first-generation bags, which did not open properly.…”

Section: Discussioncontrasting

confidence: 83%

“…Technical feasibility of in-bag power morcellation using the setting here applied had previously been shown in a small pilot series [16]. Data from the present collection of 49 consecutive patients were gathered in order to prospectively examine suitability for use in clinical routine.…”

Section: Discussionmentioning

confidence: 99%

“…A promising approach could be contained morcellation inside a bag in order to prevent spilling of uterine tissue or cells [13,14]. In this regard, we recently introduced a new system for inbag morcellation, which proved feasibility and a preventive effect in both experimental and clinical pilot settings [15,16].…”

Section: Introductionmentioning

confidence: 99%

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In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

Rimbach

Schempershofe

2017

Journal of Minimally Invasive Gynecology

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

Rimbach

Schempershofe

2017

Journal of Minimally Invasive Gynecology

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“…Furthermore, in order to insert the laparoscope, it is necessary to puncture the bag, increasing the risk of cells spillage as suggested above [14,18] . The development of specific devices presenting a sleeve to prevent bag puncture could in future represent a safe option for power in-bag morcellation [17,19] .…”

Section: Discussionmentioning

confidence: 99%

Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? A Randomized Controlled Trial

Frascà¹,

Esposti²,

Arena³

et al. 2017

Gynecol Obstet Invest

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Aims: The study aimed to evaluate feasibility and safety of in-bag manual morcellation compared to uncontained power morcellation during laparoscopic myomectomy. Methods: A total of 72 women undergoing laparoscopic myomectomy were randomized into 2 treatment groups: 34 patients underwent in-bag manual morcellation (experimental group) and 38 were submitted to uncontained power morcellation (control group). The primary end point was the comparison of morcellation operative time (MOT). Total operative time (TOT), rate of intraoperative complication, and postoperative outcomes in the 2 groups were regarded as secondary outcomes. Results: Mean MOT and TOT were longer in the experimental group than in the control one (MOT: 9.47 ± 5.05 vs. 6.16 ± 7.73 min; p = 0.01; TOT: 113.24 ± 28.12 vs. 96.74 ± 33.51 min; p = 0.01). No intraoperative complications occurred in either group and no cases of bag disruption or laparotomic conversion were recorded. No significant difference in hemoglobin drop, hospital stay, and postoperative outcomes was reported between groups. Conclusion: In-bag manual morcellation appears a safe and feasible procedure and, despite slightly longer operative time, could represent an alternative to uncontained power morcellation.

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Extrauterine adenomyoma: A case report and systematic review of the literature

Giorgi,

Labanca,

Centini

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo describe a case of extrauterine adenomyoma (EA) and review all the cases of EA in the literature.MethodsPubmed/MEDLINE, Embase, and Google Scholar from 1807 to December 2022. All studies reporting the histologic diagnosis of an EA. We collected the following data: patient's age, size and location of adenomyoma, presence of endometriosis and adenomyosis, past gynecologic treatment, symptoms, diagnostic imaging, surgical intervention, alternative/adjuvant treatment, associated malignancy, and follow up.ResultsSixty‐seven studies with 85 patients were included. Pain was the most frequent symptom (69.5%). Among diagnostic examinations, ultrasonography was used in 60 out of 81 reported cases, with several radiologic features described. EA was located inside the pelvis in 77.6% of patients. Adnexa were the most frequent site of the disease (24, 28.2%). History of endometriosis or adenomyosis was described in 35 patients (35, 41.2%). Uterine tissue morcellation was reported in 6 of the 85 patients (7.1%). Associated malignancy was detected in 9 out of 85 patients with available data (10.6%). There were two recurrences of disease.ConclusionSpecific imaging features of EA are yet to be described in the literature. History of endometriosis and adenomyosis or uterine tissue morcellation may be suggestive of EA. Histologic examination can give a definitive diagnosis and exclude malignant transformation.

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First clinical experiences using a new in-bag morcellation system during laparoscopic hysterectomy

Abstract: The experiences from our small pilot series prove technical feasibility in the clinical setting.

Cited by 28 publications

References 40 publications

In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

In-Bag Morcellation as a Routine for Laparoscopic Hysterectomy

Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? A Randomized Controlled Trial

Extrauterine adenomyoma: A case report and systematic review of the literature

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