Laparoscopic enclosed power morcellation using a surgical glove
The specimen is placed into the glove within the abdomen. Glove opening and thumb are exteriorized through the umbilical and left lower incisions, respectively. The trocar and optic are inserted into the glove, which is then insufflated. The thumb tip is cut, and a power morcellator is inserted through this finger. The morcellation is accomplished within the glove. The thumb tip is closed, and the glove, containing residuals, is removed through the umbilical incision. Thus, the risks of bag piercing and leakage during contained power morcellation are eliminated. See the related article by Akdemir et al (May 2015 issue).
Ali Akdemir, MD
Obstetrics & Gynecology. 125(5):1145-1149, May 2015