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Morcellation

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https://www.readbyqxmd.com/read/29149644/assessing-the-risk-of-laparoscopic-morcellation-of-occult-uterine-sarcomas-during-hysterectomy-and-myomectomy-literature-review-and-the-isge-recommendations
#1
REVIEW
Ornella Sizzi, Lucia Manganaro, Alfonso Rossetti, Matteo Saldari, Giuseppe Florio, Alessandro Loddo, Robert Zurawin, Bruno van Herendael, Dusan Djokovic
OBJECTIVE: This project of the International Society for Gynecologic Endoscopy (ISGE) had the objective to review the literature and provide recommendations on the occult sarcoma risk assessment in patients who are candidates for minimally invasive gynecological surgery involving intra-abdominal electromechanical tissue morcellation. STUDY DESIGN: The ISGE Task Force for Estimation of the Risk in Endoscopic Morcellation initially defined key topics and clinical questions which may guide a comprehensive preoperative patient assessment...
November 7, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29138602/improved-adequacy-of-endometrial-tissue-sampled-from-postmenopausal-women-using-the-myosure-lite-hysteroscopic-tissue-removal-system-versus-conventional-curettage
#2
Peter Rosenblatt, Sara Barcia, Anthony DiSciullo, Hussein Warda
Objective: To compare the diagnostic suitability of endometrial tissues obtained from postmenopausal women using the MyoSure Lite tissue removal system versus conventional curettage. Materials and methods: Endometrial tissue was sampled in hysteroscopically normal extirpated uteri from seven postmenopausal women (65.9±6.6 years old) using both hysteroscopicguided morcellation and curettage (two quadrants/uterus with each method). Endometrial sampling was performed immediately after hysterectomy for benign reasons unrelated to uterine pathology...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29135414/retroperitoneoscopic-nephrectomy-for-huge-autosomal-dominant-polycystic-kidney-disease-using-morcellator
#3
Dong Sup Lee, Hee Youn Kim, Seung-Ju Lee
No abstract text is available yet for this article.
November 17, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29133752/proportion-of-uterine-malignant-tumors-in-patients-with-laparoscopic-myomectomy-a-national-multicenter-study-in-china
#4
Hua Yang, Xiao-Chuan Li, Chen Yao, Jing-He Lang, Hang-Mei Jin, Ming-Rong Xi, Gang Wang, Lu-Wen Wang, Min Hao, Yan Ding, Jie Chen, Jian-Qing Zhang, Lu Han, Cheng-Xiu Guo, Xiang Xue, Yan Li, Jian-Hua Zheng, Man-Hua Cui, Huai-Fang Li, Guang-Shi Tao, Long Chen, Su-Min Wang, An-Wei Lu, Ze-Hua Huang, Qing Liu, Ya-Li Zhuang, Xiang-Hua Huang, Gen-Hai Zhu, Ou-Ping Huang, Li-Na Hu, Mu-Jun Li, Hong-Lin Zhou, Jing-Hui Song, Lan Zhu
BACKGROUND: The Food and Drug Administration recently announced that the use of morcellation may cause fibroids or pelvic dissemination and metastasis of uterine sarcoma; therefore, the use of morcellation is limited in the USA. A large sample study is necessary to assess the proportion of uterine malignant tumors found in patients with laparoscopic myomectomy. METHODS: A national multicenter study was performed in China. From 2002 to 2014, 33,723 cases were retrospectively selected...
November 20, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/29128980/reducing-the-spread-of-occult-uterine-sarcoma-at-the-time-of-minimally-invasive-gynecologic-surgery
#5
Marron Wong, Rudy Leon De Wilde, Keith Isaacson
PURPOSE: This review covers the most recent evidence to discuss the incidence of occult uterine sarcoma, whether morcellation increases tumor dissemination or mortality, and whether there is a difference between different types of morcellation. We will also discuss techniques to reduce the spread of an undiagnosed uterine sarcoma. METHOD: A comprehensive literature search was made in Pubmed, Medline, the Cochrane Library, and Google Scholar for articles related to the incidence of occult uterine sarcoma after morcellation...
November 11, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29112659/tissue-extraction-techniques-for-leiomyomas-and-uteri-during-minimally-invasive-surgery
#6
Matthew T Siedhoff, Sarah L Cohen
Fragmented tissue extraction (morcellation) of uterine and leiomyoma tissue in gynecologic surgery has been performed for decades, but recent years have seen a vast expansion of techniques to address risks associated with tissue dispersion. Use of power, or electromechanical, morcellation has largely been replaced by manual morcellation with a scalpel. Morcellation can take place through a laparoscopic incision, a minilaparotomy incision, or through a colpotomy. Containment systems are now available for both power and manual morcellation, allowing tissue fragmentation to take place within an enclosed specimen bag...
November 3, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29089662/morcellation-for-testes-extraction-in-horses-undergoing-standing-laparoscopic-cryptorchidectomy
#7
Lucas Nolazco Sassot, Claude A Ragle, Kelly D Farnsworth, Caleb M Lund
The major objective of this study was to describe the use of morcellation for standing laparoscopic cryptorchidectomy in 30 client-owned horses. A second objective was to describe a laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids. Morcellation for extraction of abdominal testes is effective, efficient, and well-tolerated. Morcellation enabled safe and straightforward extraction of testes from the abdomen through an approximately 13- to 20-mm incision using a 2-portal technique...
November 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/29079466/laparoscopic-promontofixation-in-10-steps
#8
Oana Madalina Acsinte, Benoit Rabischong, Nicolas Bourdel, Michel Canis, Revaz Botchorishvili
STUDY OBJECTIVE: Laparoscopic promontofixation has all the advantages of minimally invasive approach for the treatment of urogenital prolapse. The standardization and the description of the technique was the main objective of this video. We described the complete procedure in 10 steps, which could help to understand and perform this procedure simply, easily and safely. DESIGN CLASSIFICATION: Step-by-step video demonstration of the technique. SETTING: A University tertiary care hospital...
October 24, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29078975/laparoscopic-myomectomy-and-morcellation-a-review-of-techniques-outcomes-and-practice-guidelines
#9
REVIEW
Laura M Glaser, Jaclyn Friedman, Susan Tsai, Angela Chaudhari, Magdy Milad
Laparoscopic myomectomy is a minimally invasive surgical approach to treat symptomatic uterine fibroids in women wishing for a uterine-sparing procedure. With careful patient selection, these procedures are associated with favorable reproductive outcomes and low perioperative morbidity. Current available methods for specimen retrieval include power and hand morcellation. The 2014 FDA safety warnings regarding power morcellation arose from concerns about the spread of occult malignancy and prompted widespread use of containment systems that may limit spread of myometrial cells...
September 29, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29061369/unsuspected-uterine-sarcoma-in-an-urban-hospital-does-surgical-approach-matter
#10
Marianne N DiNapoli, Mireille D Truong, Johanna K Halfon, William M Burke
STUDY OBJECTIVE: To compare the incidence of unsuspected uterine sarcoma based on surgical approach: open versus minimally invasive approaches for myomectomies and hysterectomies. DESIGN: Retrospective chart review of demographic data, preoperative characteristics, operative details, and pathology results from the electronic medical record. DESIGN: Classification: II-3 SETTING: A large, urban, academic medical center. PATIENTS: All women undergoing myomectomy or hysterectomy performed for benign indications by a benign gynecologic surgery between 2010 and 2014...
October 20, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29032253/laparoscopic-dissection-of-extensive-secondary-disseminated-peritoneal-leiomyomatosis-dpl
#11
Karicha Mairaing, Kuan-Gen Huang
STUDY OBJECTIVE: To demonstrate a minimal invasive surgical (MIS) technique for curative excision of extensive secondary disseminated peritoneal leiomyomatosis (DPL). SETTING: In MIS, the myoma has to be divided into small fragments for piecemeal retrieval through a small incision [1], a widely used technique is morcellation (confined or unconfined) [2]. Disseminated peritoneal leiomyomatosis (DPL) is a rare sequel following laparoscopic morcellation. Since this entity is rarely reported, this video demonstrates laparoscopic technique for safe removal of DPL post laparoscopic myomectomy and morcellation...
October 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29030074/a-survey-of-morcellator-preference-and-cost-comparison-of-the-lumenis%C3%A2-versacut%C3%A2-and-wolf-piranha-morcellators
#12
Marcelino E Rivera, James E Lingeman, Kevin Heinsimer, Nadya E York, Amy E Krambeck
OBJECTIVES: To evaluate OR costs associated with the two available morcellators in the United States in a matched cohort and to determine BPH surgeon's morcellator preference. MATERIALS AND METHODS: Patients from 2013, the last year our institution exclusively used the VersaCut™ device were matched 1:1 with the most recent patient cohort, utilizing the Wolf Piranha morcellator. Cost of morcellation including the expense of OR time and disposable instrument costs was calculated...
October 10, 2017: Urology
https://www.readbyqxmd.com/read/29016511/change-in-surgical-practice-for-women-with-leiomyomas-after-the-u-s-food-and-drug-administration-morcellator-safety-communication
#13
Nina M Clark, Michael Schembri, Vanessa L Jacoby
OBJECTIVE: To evaluate the association between the U.S. Food and Drug Administration (FDA) communication discouraging use of power morcellators on changes in surgical practice for women with uterine leiomyomas. METHODS: This is a cross-sectional study using data from 2013 to 2014 in the Healthcare Cost and Utilization Project State Inpatient and State Ambulatory Surgical Databases from Arizona, Florida, Kentucky, and New Jersey. Women with a diagnosis of leiomyomas who underwent hysterectomy or myomectomy were included in the analysis...
November 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28992519/posterior-atlantoaxial-fusion-with-a-screw-rod-system-allograft-versus-iliac-crest-autograft
#14
Da-Geng Huang, Xin-Liang Zhang, Ding-Jun Hao, Cheng-Cheng Yu, Bai-Bing Mi, Qi-Ling Yuan, Bao-Rong He, Tuan-Jiang Liu, Hua Guo, Xiao-Dong Wang
OBJECTIVE: To compare the effectiveness of allograft and iliac crest autograft in atlantoaxial fusion. PATIENTS AND METHODS: Between January 2012 and December 2012, 41 consecutive patients underwent posterior atlantoaxial fusion with a screw-rod fixation system in our spine center. The choice to use allograft or iliac crest autograft was made by the patient himself or herself after being informed about the advantages and disadvantages of both methods. In the allograft group, we used mixed material of morcellized demineralized freeze-dried bone allograft and local autograft for posterior atlantoaxial fusion...
November 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28985851/in-bag-enzymatic-splenic-digestion-a-novel-alternative-to-manual-morcellation
#15
Eric D Villarreal, William Preston Hewgley, Walter H Lang, Christopher L Morton, Shenghua Mao, Jianrong Wu, John A Sandoval
BACKGROUND: Contained in-bag spleen morcellation is a conventional extraction technique for safe spleen removal during laparoscopic splenectomy. Existing data for the use of in-bag enzymatic splenic digestion as an alternative to morcellation are lacking. This proof-of-concept study sought to evaluate the effectiveness of single and combinatorial enzyme digestion of murine spleens. MATERIALS AND METHODS: Murine spleens were digested with collagenase alone or with combinations of commercially available enzymes (collagenase, elastase, hyaluronidase, neutral protease) to determine their degradation effect...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28982620/surgical-technique-for-robot-assisted-sacrocolpopexy-performed-via-a-single-port
#16
Lior Lowenstein, Emad Matanes, Yechiel Z Burke
OBJECTIVE: Sacrocolpopexy is considered the gold standard for the treatment of pelvic organ prolapse (POP). This procedure was the first technique used to treat POP with robotic assistance and has gone a long way since the open procedure was introduced. Originally, 5 trocars were inserted and there remained issues in terms of scarring, morcellation, and possibly an increased risk of infection. The objective of this video was to demonstrate a surgical technique and a few tips and tricks for a robot-assisted sacrocolpopexy performed via a single port in the umbilicus...
May 2017: Urology
https://www.readbyqxmd.com/read/28975775/morcellation-of-occulted-sarcomas-during-laparoscopic-myomectomy-and-hystrectomy-for-patients-with-large-fibroid-uterus
#17
Andrea Tinelli, Samir A Farghaly
In April 2014, the United States of America Food and Drug Administration (FDA) published a safety communication warning of the risk of an unsuspected uterine sarcoma being morcellated during a laparoscopic procedure, and advised against the use of power morcellation. In November of the same year, this agency stated: 1. Laparoscopic power morcellators are contraindicated for removal of uterine tissue containing suspected fibroids in patients who are peri- or post-menopausal, or are candidates for "en bloc" tissue removal...
October 3, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28974911/two-phase-laparoendoscopic-single-site-cervical-ligament-sparing-hysterectomy-an-initial-experience
#18
Mun-Kun Hong, Tang-Yuan Chu, Jen-Huang Wang, Dah-Ching Ding
OBJECTIVE: To report our initial experience with and the short-term outcomes of two-phase laparoendoscopic single-site cervical ligament-sparing hysterectomy (LESS-CLSH). MATERIALS AND METHODS: A retrospective case study included 40 women who underwent LESS-CLSH from January 2014 to December 2016 at Buddhist Tzu Chi General Hospital. Uterine specimens were extracted through contained manual morcellation with a tissue pouch. The first phase was LESS supracervical hysterectomy and conization of the internal orifice of the cervix...
July 2017: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/28967600/-how-i-do%C3%A2-laparoscopic-in-bag-morcellation-of-myomas
#19
G Chene, C Delacroix, K Lebail Carval, P Chabert, G Mellier, G Lamblin
No abstract text is available yet for this article.
October 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/28948169/hysteroscopic-morcellation-of-submucous-myomas-a-systematic-review
#20
REVIEW
Salvatore Giovanni Vitale, Fabrizio Sapia, Agnese Maria Chiara Rapisarda, Gaetano Valenti, Fabrizia Santangelo, Diego Rossetti, Benito Chiofalo, Giuseppe Sarpietro, Valentina Lucia La Rosa, Onofrio Triolo, Marco Noventa, Salvatore Gizzo, Antonio Simone Laganà
Hysteroscopic surgery is the actual gold standard treatment for several types of intrauterine pathologies, including submucous myomas (SMs). To date, the availability of Hysteroscopic Tissue Removal systems (HTRs) opened a new scenario. Based on these elements, the aim of this article is to review the available evidence about HTRs for the management of SMs. We included 8 papers (3 prospective studies and 5 retrospective studies). A total of 283 women underwent intrauterine morcellation of SM: 208 were treated using MyoSure and 75 using Truclear 8...
2017: BioMed Research International
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