Saturday, August 16, 2014
Trailers (91): Contained intra-abdominal power morcellation
Cohen et al. Contained power morcellation within an insufflated isolation bag.
Why should you read about this topic?
Alternatives to conventional intra-abdominal power morcellation need to be explored.
What were the authors trying to do?
Demonstrate the feasibility of intra-abdominal power morcellation using an isolation bag during minimally invasive gynecologic surgery
Who participated and in what setting?
Women (N=73) undergoing hysterectomy or myomectomy requiring morcellation to remove the excised specimen during minimally invasive gynecologic surgery at 4 hospitals in the US.
What was the study design?
Retrospective chart review and some by prospective observation
What were the main outcome measures?
Specimen removal by morcellation
What were the results?
Morcellation within an isolation bag was successful without complications in all cases.
What is the most interesting image in the paper?
The attached video
What were the study strengths and weaknesses?
Strengths: careful description of the operative procedure. Weaknesses: retrospective; number of patients too small to demonstrate safety and efficacy of prevention of dissemination
What does the study contribute for your practice?
Principles that will be key for development of safe power morcellation in the future.