What does morcellation mean medically?

Morcellation is when tissue such as your uterus or fibroids are cut into smaller pieces to allow them to be removed more easily. This can be done using an instrument called a morcellator. The use of morcellation may mean you can have your operation done laparoscopically (using small cuts on your abdomen) or vaginally.

Are morcellators still used?

Due to this increased risk, the FDA continues to recommend use of laparoscopic power morcellation only in appropriate women undergoing myomectomy or hysterectomy. In addition, the FDA recommends that when morcellation is appropriate, only contained morcellation be performed.

What is hysteroscopic morcellation?

Hysteroscopic morcellation is an alternative procedure to hysteroscopic resection for the removal of endometrial polyps and fibroids. There are currently two systems in use, Myosure® and Truclear™.

What is contained morcellation?

Contained uterine hand morcellation is a feasible procedure with low peri-operative complication rates that allows for minimally invasive surgical procedures for women with large uterine neoplasms. Further evaluation is needed to assess survival outcomes for uterine malignancies.

Is hysteroscopic morcellation safe?

Conclusion: Our study demonstrates that hysteroscopy with morcellation is a safe diagnostic method for low- and high-grade endometrial pathologic conditions and does not lead to increased dissemination of malignant cells, lymphovascular space invasion, or upstaging of patients.

Can laparoscopic hysterectomy be done without morcellation?

Other studies suggest that the benefits of laparoscopic hysterectomy with power morcellation may still outweigh the risks for younger women, for whom the risk of unexpected uterine cancer is much lower. The researchers add that it is also often possible to perform laparoscopic hysterectomy without power morcellation.

What is morcellators?

A morcellator is a surgical instrument used for division and removal of large masses of tissues during laparoscopic surgery. In laparoscopic hysterectomy the uterus is minced up, or morcellated, into smaller pieces inside the patient’s abdominal cavity in order to extract from the abdomen.

When is morcellation used?

A power morcellator is a surgical tool that doctors use to cut bigger chunks of tissue into smaller ones, usually during laparoscopic surgery. Surgeons use them mainly during gynecological procedures such as a laparoscopic hysterectomy (removal of the uterus) and myomectomy (fibroid removal).

Is contained morcellation safe?

Making Surgeries with Laparoscopic Power Morcellators Safer Through Containment Systems. Use of laparoscopic power morcellators allows for minimally invasive surgical procedures, which, when compared to open abdominal surgery, typically reduce the risk of infection and shorten the post-operative recovery period.

How does morcellation work?

How Does a Morcellator Work? The term “morcellate” means to cut into smaller pieces. These power morcellators allow surgeons to make minimally invasive incisions of less than 2 centimeters in length and remove fibroids and other tissue through the small incision.

What is morcellation in a bag?

Tissue morcellation during laparoscopic hysterectomy carries the risk of spreading cells from unsuspected malignancy. Contained morcellation inside a bag is supposed to minimize this risk.

Who is not a candidate for laparoscopic hysterectomy?

“Laparoscopic hysterectomy can be performed on many patients who require a hysterectomy. However, not every patient is a candidate,” says Chin. “Patients who need a hysterectomy and have cancer, extremely large fibroids, large ovarian tumors, or pelvic adhesions may not be candidates for laparoscopic hysterectomy.”

Is my uterus too big for laparoscopic hysterectomy?

Most gynecologists do not recommend a hysterectomy via the vagina or a laparoscopic-assisted vaginal hysterectomy (LAVH) in the case of a uterus weighing more than 300 g.

Can you have twins after a myomectomy?

Salvay said, ‘it’s a miracle, you just had a myomectomy four months ago, you’re 40 and you’re pregnant. ‘ Then he said I had twins. I nearly fainted,” said Gwen. Twin boys Mason and Gavin were born 37 1/2 weeks after that, each weighing six and a half pounds.

What is morcellation surgery?

Morcellation is a surgical technique used to reduce the size of the uterus or myomas by creating smaller pieces to allow the tissue to be removed through small incisions or with laparoscopic instruments.

Is morcellation used in a vaginal hysterectomy?

If the uterus is too large to be removed intact through the vagina, morcellation is required to complete a vaginal hysterectomy. The alternative to morcellation is to remove the uterus intact through an abdominal incision (abdominal hysterectomy).