To Assess the Safety of Morcellation for Removing Uterine Specimen During Laparoscopic and Vaginal Hysterectomies for Leiomyomas

Agrawal, Priti; Agrawal, Rishi; Chandrakar, Joytirmay

doi:10.1007/s13224-016-0900-4

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Our learning curve for LH and other laparoscopic procedure had reached a satisfactory level in these years. [4][5][6] LH is a safe procedure. 7 Combining two major surgeries may apparently lead to excessive pain, prolonged hospital stays, increased nausea, vomiting, paralytic ileus due to prolonged anaesthesia and increased risk of mesh infection.…”

Section: Discussionmentioning

confidence: 99%

Reducing operative morbidity among female patients combining laparoscopic hysterectomy and laparoscopic ventral hernia mesh repair procedures: a single centre 14 years experiences

Agrawal¹,

Agrawal²,

Chandrakar³

2021

Int J Reprod Contracept Obstet Gynecol

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Background: During laparoscopic ventral hernia repair (LVHR) mesh is used and so this procedure is not combined with any other major surgery, due to the risk of mesh infection. We did laparoscopic hysterectomy (LH) with LVHR in our study group and found it to be safe procedure with excellent patient recovery and satisfaction rates. Aims and objectives of the study was to assess the short- and long-term clinical outcomes of doing LH and LVHR simultaneously. The primary objectives were to evaluate the intraoperative and post-operative complications, mesh infection rates, hernia recurrence rates and patient satisfaction rates for at least 4 years.Methods: This prospective study was conducted at Aarogya Hospital and test tube centre from 1st January 2007 to 31st December 2016 and follow up completed by 31st December 2020. Total 100 women were included, willing for LH and LVHR simultaneously irrespective of the size of uterus and hernia defect size up to 7cms.Results: Maximum number of patients 65% were in the age group of 45-55 years. 70% patients had previous surgeries commonest being LSCS in 46% cases. Hernia defect size was between 3-5 cm in length and width in 70% cases, requiring dual mesh fixation in 68% cases of size 15x15cms. Our recurrence rate for hernia was nil, 98% cases were highly satisfied with the surgical outcomes by the end of 4 years follow-up.Conclusions: We emphasize that LH can be easily done with LVHR in combination reducing operative morbidity.

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Section: Discussionmentioning

confidence: 99%

Reducing operative morbidity among female patients combining laparoscopic hysterectomy and laparoscopic ventral hernia mesh repair procedures: a single centre 14 years experiences

Agrawal¹,

Agrawal²,

Chandrakar³

2021

Int J Reprod Contracept Obstet Gynecol

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Safety of Minimally Invasive Tissue Extraction in Myoma Management: A Systematic Review

Pepin

Cope

Einarsson

et al. 2021

Journal of Minimally Invasive Gynecology

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Objective: This review seeks to establish the incidence of adverse outcomes associated with minimally invasive tissue extraction at the time of surgical procedures for myomas. Data Sources: Articles published in the following databases without date restrictions: PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews and Trials. Search was conducted on March 25, 2020. Methods of Study Selection: Included studies evaluated minimally invasive surgical procedures for uterine myomas involving morcellation. This review did not consider studies of nonuterine tissue morcellation, studies involving uterine procedures other than hysterectomy or myomectomy, studies involving morcellation of known malignancies, nor studies concerning hysteroscopic myomectomy. A total of 695 studies were reviewed, with 185 studies included for analysis. Tabulation, Integration, and Results: The following variables were extracted: patient demographics, study type, morcellation technique, and adverse outcome category. Adverse outcomes included prolonged operative time, morcellation time, blood loss, direct injury from a morcellator, dissemination of tissue (benign or malignant), and disruption of the pathologic specimen. Conclusion: Complications related to morcellation are rare; however, there is a great need for higher quality studies to evaluate associated adverse outcomes.

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Occult Uterine Malignancy Found at Surgery for Uterine Fibroids: An Updated Systematic Review and Meta-Analysis

Masghati

Parks

James

et al. 2021

Journal of Gynecologic Surgery

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To Assess the Safety of Morcellation for Removing Uterine Specimen During Laparoscopic and Vaginal Hysterectomies for Leiomyomas

Cited by 4 publications

References 9 publications

Reducing operative morbidity among female patients combining laparoscopic hysterectomy and laparoscopic ventral hernia mesh repair procedures: a single centre 14 years experiences

Reducing operative morbidity among female patients combining laparoscopic hysterectomy and laparoscopic ventral hernia mesh repair procedures: a single centre 14 years experiences

Safety of Minimally Invasive Tissue Extraction in Myoma Management: A Systematic Review

Occult Uterine Malignancy Found at Surgery for Uterine Fibroids: An Updated Systematic Review and Meta-Analysis

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