Transvaginal Morcellation

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Transvaginal Morcellation

BACKGROUND AND OBJECTIVES Transvaginal uterine morcellation has been described in the literature for more than a century. Despite an extensive body of literature documenting its safety and feasibility, concerns about morcellating occult malignant entities have raised questions regarding this technique. In this study, we looked at a single teaching institution's experience with transvaginal morc...

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Transvaginal Hydrolaparoscopy

Transvaginal hydrolaparoscopy (THL) is being performed regularly in Europe and China, but rarely in the United States. The reasons may be physicians' unfamiliarity with the procedure and their uneasiness over potential rectal puncturing due to the proximity of the rectum to the vaginal trocar insertion site. THL has the advantage over hysterosalpingography (HSG) in that it allows for direct vi...

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Patients' Knowledge and Perceptions of Morcellation

BACKGROUND AND OBJECTIVES Morcellation has received increased media and professional attention, but it remains unclear how much the average patient knows about this topic. We sought to evaluate patients' knowledge of morcellation, assess their perceptions of the risks and benefits, and determine how these perceptions affect their decision regarding the route of surgery. METHODS Anonymous pape...

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The U.S. Food and Drug Administration is considering restricting or banning morcellation in minimally invasive hysterectomies and myomectomies (removal of fibroids) because of new reports of higher incidence of undiagnosed sarcoma in women undergoing these procedures. Research now links morcellation to the spread, or upstaging, of undetectable gynecological cancers. In July, FDA convened a 2-da...

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ژورنال

عنوان ژورنال: JSLS : Journal of the Society of Laparoendoscopic Surgeons

سال: 2015

ISSN: 1086-8089,1938-3797

DOI: 10.4293/jsls.2014.00255