Safe vaginal uterine morcellation following total laparoscopic hysterectomy.


Autoria(s): Günthert, Andreas R; Christmann, Corina; Kostov, Plamen; Mueller, Michael
Data(s)

01/04/2015

Resumo

The minimally invasive approach for hysterectomy with proven benefits and lower morbidity has become the gold standard, even in women with large uterine masses. Most women with a malignant condition present with abnormal vaginal bleeding and/or suspicious imaging such that few are diagnosed by final histopathology after surgery. However, if a malignancy is not diagnosed preoperatively, intraabdominal morcellation for uterus extraction has an increased risk for potential tumor spread and peritoneal metastases, especially in cases of unexpected leiomyosarcoma. We describe a simple method to wrap the uterus in a contained environment with a plastic bag through the posterior vaginal fornix prior to conventional coring morcellation for vaginal extraction in total laparoscopic hysterectomy. We further describe our experience with a risk stratification and treatment algorithm to implement this procedure in daily routine. A video and an illustrating sketch demonstrate the simplicity and safety of the procedure.

Formato

application/pdf

Identificador

http://boris.unibe.ch/68920/1/1-s2.0-S0002937814022509-main.pdf

Günthert, Andreas R; Christmann, Corina; Kostov, Plamen; Mueller, Michael (2015). Safe vaginal uterine morcellation following total laparoscopic hysterectomy. American journal of obstetrics and gynecology, 212(4), 546.e1-546.e4. Elsevier 10.1016/j.ajog.2014.11.020 <http://dx.doi.org/10.1016/j.ajog.2014.11.020>

doi:10.7892/boris.68920

info:doi:10.1016/j.ajog.2014.11.020

info:pmid:25460836

urn:issn:0002-9378

Idioma(s)

eng

Publicador

Elsevier

Relação

http://boris.unibe.ch/68920/

Direitos

info:eu-repo/semantics/restrictedAccess

Fonte

Günthert, Andreas R; Christmann, Corina; Kostov, Plamen; Mueller, Michael (2015). Safe vaginal uterine morcellation following total laparoscopic hysterectomy. American journal of obstetrics and gynecology, 212(4), 546.e1-546.e4. Elsevier 10.1016/j.ajog.2014.11.020 <http://dx.doi.org/10.1016/j.ajog.2014.11.020>

Palavras-Chave #610 Medicine & health
Tipo

info:eu-repo/semantics/article

info:eu-repo/semantics/publishedVersion

PeerReviewed