Current events in Obstetrics & Gynecology, updates on new web site features and links to other web sites of interest to ObGyns.

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.