Gynecare Morcellex Sigma(®): Manufacturer: ETHICON Women's Health & Urology, A Division of ETHICON, INC., a Johnson & Johnson company, Somerville, NJ 08876-0151, USA, © ETHICON, INC. 2005.

The use of electronic power morcellators in gynecological laparoscopy has been long established. New trends in treatment approaches for intramural and subserosal uterine myomas, and most importantly the introduction of laparoscopic supracervical hysterectomy, required development of new advanced systems, which further simplified the application of safe and efficient morcellators [1, 2]. In the last few years, laparoscopic surgeries together with the more recent addition of robotic surgeries have allowed us to perform advanced operations in the gynecological field, including resection of large uteri up to 22 weeks (measured as size of a pregnant uterus) either total hysterectomy or supracervical hysterectomy and dissection of large and many uterine myomas. In such cases, the use of a well-designed morcellator is paramount for the ease of the patient (i.e., less operation/anesthesia time, no need for laparotomy, etc.) and for the surgeon (i.e., lightweight479 gr, ergonomically adapted) [2–4]. The Gynecare Morcellex Sigma is a brand new tissue morcellator designed for the above-mentioned purposes [2, 4]. The fibroid uterus can have multiple myomas which vary in size, shape, and consistency. The surgeon has to overcome these challenges. The Gynecare Morcellex Sigma is a third-generation morcellator (Diva-1999, Morcellex-2006) Sharon A. (&), Head of The Gyneco-Endoscopic Unit Department of Obstetrics and Gynecology, Hillel-Yaffe Medical Center, Hadera, Israel e-mail: [email protected]