A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature

Fong W. Liu, Valerie B. Galvan-Turner, Krista S. Pfaendler, Teresa C. Longoria, Robert E. Bristow

Research output: Contribution to journalReview article

Abstract

Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has been questioned. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. In this review, we examine the risk of incidental sarcoma at the time of surgery, the quality of the data, the accuracy of clinical and radiologic predictors of uterine sarcoma, and the impact of morcellation on the prognosis of uterine sarcoma.

Original languageEnglish (US)
Pages (from-to)717-724
Number of pages8
JournalAmerican journal of obstetrics and gynecology
Volume212
Issue number6
DOIs
StatePublished - Jun 1 2015

Keywords

  • minimally invasive surgery
  • morcellation
  • uterine sarcoma

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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