OBJECTIVE Morcellation is the technique to remove large specimens via small incisions and is commonly used in gynecologic procedures. In this video we demonstrate contained manual morcellation techniques in benign… Click to show full abstract
OBJECTIVE Morcellation is the technique to remove large specimens via small incisions and is commonly used in gynecologic procedures. In this video we demonstrate contained manual morcellation techniques in benign gynecologic surgeries. DESIGN Stepwise demonstration of four techniques with narrated video footage. SETTING Tertiary academic teaching hospital. INTERVENTIONS This video showcases four contained manual morcellation techniques: abdominal extraction via an umbilical "mini-laparotomy" incision, abdominal extraction via a suprapubic "mini-laparotomy" incision, transvaginal extraction through the colpotomy and transvaginal extraction through posterior cul-de-sac with uterus in place. A particular strategy should be selected based on appropriate patient characteristics and surgical factors. CONCLUSION Minimizing risk during tissue extraction is critical to minimally invasive procedures. The morcellation techniques displayed in this video allow for tissue extraction via small incisions while reducing the risk of spreading an undiagnosed malignancy.
               
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