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Role and Risks of Morcellation Associated with Laparoscopic Management of Myomas
Ist Teil von
Current obstetrics and gynecology reports, 2014-09, Vol.3 (3), p.201-206
Ort / Verlag
Boston: Springer US
Erscheinungsjahr
2014
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Since its introduction, morcellation has paved the way for laparoscopic management of myomas. In the hands of an experienced surgeon, it has enabled even bulky tumours to be removed using a minimally invasive approach, affording patients the advantages of laparoscopic surgery. Initial reports on intraoperative safety of morcellation appeared promising and its introduction subsequently gained momentum. Despite two decades passing since the initial introduction of mechanical morcellation, there are still significant gaps in our knowledge of the longer term outcomes and complications. Recently, the technique has come under scrutiny as cases of iatrogenic spread of uterine tissue secondary to morcellation have been reported. Even more concerning is the inadvertent spread of unsuspected malignancy, which led the FDA to articulate a safety communication and discourage the use of uterine morcellation. This article aims to summarise current evidence for the roles and risks of morcellation in the laparoscopic management of myomas.