TY - JOUR
T1 - A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature
AU - Liu, Fong W.
AU - Galvan-Turner, Valerie B.
AU - Pfaendler, Krista S.
AU - Longoria, Teresa C.
AU - Bristow, Robert E.
N1 - Publisher Copyright:
© 2015 Elsevier Inc. All rights reserved.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has been questioned. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. In this review, we examine the risk of incidental sarcoma at the time of surgery, the quality of the data, the accuracy of clinical and radiologic predictors of uterine sarcoma, and the impact of morcellation on the prognosis of uterine sarcoma.
AB - Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has been questioned. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. In this review, we examine the risk of incidental sarcoma at the time of surgery, the quality of the data, the accuracy of clinical and radiologic predictors of uterine sarcoma, and the impact of morcellation on the prognosis of uterine sarcoma.
KW - minimally invasive surgery
KW - morcellation
KW - uterine sarcoma
UR - http://www.scopus.com/inward/record.url?scp=84928823573&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928823573&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2015.01.012
DO - 10.1016/j.ajog.2015.01.012
M3 - Review article
C2 - 25582101
AN - SCOPUS:84928823573
SN - 0002-9378
VL - 212
SP - 717
EP - 724
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 6
ER -