In-Bag Morcellation During Laparoscopic Hysterectomy
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During laparoscopic supracervical hysterectomy (LASH), in-bag morcellation takes no more time than uncontained morcellation but avoids cell dissemination.
To compare the total time required for LASH plus laparoscopic in-bag morcellation (LASH+) with LASH using laparoscopic uncontained morcellation (LASH−), researchers retrospectively compared 107 LASH+ procedures done from 2016 to 2018 with 47 LASH− procedures are done from 2015 to 2017. Three experienced surgeons in the same department of minimally invasive gynecologic surgery performed all of the hysterectomies, which were indicated for dysmenorrhea or a bleeding disorder.
For each surgery, total surgical time, surgical outcome, blood loss, and complications were measured. The researchers then compared these outcome measures by type of morcellation used during LASH.
As a result, the researchers found no difference between the 2 types of morcellation with regard to blood loss, complications, and surgical results. They found no significant difference in total surgical time required for LASH by type of morcellation used. The researchers observed that, although LASH with in-bag morcellation takes more time for bag use and handling, this type of morcellation eliminates the need to carefully sample lost tissue fragments and lavage the peritoneal cavity after morcellation.
“LASH with in-bag morcellation is not related to additional surgical time when compared to LASH with uncontained morcellation,” they concluded.
4 COMMENTS
Chinky sinha
#1
Jul 31st, 2022 10:21 am
Thank you very much for posting this informative article on In-Bag Morcellation During Laparoscopic Hysterectomy. It was very helpful. Thank you very much.
DR. SUHANA PATEL
#2
Aug 1st, 2022 4:38 am
I am really happy to say it’s an interesting post to read. I learn new information from your article, you are doing a great job. Keep it up...Thanks for sharing the In-Bag Morcellation During Laparoscopic Hysterectomy article.
Karishma verma
#3
Aug 2nd, 2022 5:28 am
Wow! Such an informative and educative article on Important In-Bag Morcellation During Laparoscopic Hysterectomy and thanks for sharing it.
Jayanti poddar
#4
Aug 10th, 2022 6:33 am
Tissue morcellation during laparoscopic hysterectomy carries the risk of spreading cells from the unsuspected malignancy. Contained morcellation inside a bag is supposed to minimize this risk. Thank you very much for posting this informative article on In-Bag Morcellation During Laparoscopic Hysterectomy. It was very helpful. Thank you very much.
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