Vaginal morcellation: A new strategy for large gynecological malignant tumor extraction

Risk of Leakage and Tissue Dissemination With Various Contained Tissue Extraction (CTE) Techniques: An in Vitro Pilot Study

“…Despite this occurrence, after the morcellation process all containment bags were found to be intact and without perforation except for the intentional puncture in the multi-port technique. The use of a LAPSAC bag (Cook Medical, Bloomington, IN) or sterile plastic containment bag for tissue morcellation has been studied during vaginal morcellation of uterine specimens in cases of endometrial cancer; this technique is reported to be successful with no evidence of recurrence at a median follow-up of 18 months [15,16]. A Lahey, or isolation, bag has also been used to assist with manual morcellation during hand-assisted laparoscopic splenectomy or laparoscopic radical nephrectomy [17,18].…”

Endoscopic Treatment and Power Morcellation of Uterine Fibroids

“…Alternative specimen removal techniques involve extracorporeal morcellation [84,85] and transvaginal insertion of the anchor tissue retrieval system [86].…”

Assessing Basic “Physiology” of the Morcellation Process and Tissue Spread: A Time-action Analysis

“…To prevent the unintentional morcellation of a uterine malignancy, it is proposed to stop using a power morcellator and return to traditional methods such as abdominal laparotomy or vaginal incision to remove the uterus or myoma. Methods to avoid tissue spread such as in-bag morcellation are under investigation [4][5][6][7][8]. In theory, contact between tissue and the abdominal wall and cavity is avoided; however, studies in urology and gastroenterology have, in fact, shown port site metastases after contained morcellation [9][10][11][12].…”