Morcellation in gynecology: Short review and suggestions from turkish society of minimally invasive gynecologic oncology


TAŞKIN S., VARLI B., Yalçın İ., Ortaç F., Taşkıran Ç., GÜNGÖR M.

Journal of the Turkish German Gynecology Association, vol.22, no.1, pp.53-57, 2021 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 22 Issue: 1
  • Publication Date: 2021
  • Doi Number: 10.4274/jtgga.galenos.2020.2020.0107
  • Journal Name: Journal of the Turkish German Gynecology Association
  • Page Numbers: pp.53-57
  • Keywords: Myomectomy, hysterectomy, morcellation, laparoscopic surgery, vaginal surgery, UTERINE SARCOMA, LEIOMYOSARCOMA, MALIGNANCY, LEIOMYOMA, FIBROIDS, SURGERY, BENIGN, IMPACT, TUMOR, RISK

Abstract

© 2021 by the Turkish-German Gynecological Education and Research Foundation-.Morcellation allows the removal of a large uterus and fibroids through small incisions with minimally invasive surgery. It helps to prevent the complications associated with large incisions in both hysterectomy and myomectomy operations. Currently, there is much debate regarding the use of power morcellation in laparoscopic hysterectomy and myomectomy, mainly due to the risk of peritoneal dissemination of undiagnosed uterine sarcomas. Unfortunately, there is no valid pre-operative diagnostic method that can differentiate sarcomas from myomas, and the currently available scientific literature regarding morcellation is insufficient. As the Turkish Society of Minimally Invasive Gynecological Oncology, we present our consensus opinion and suggestions for the preoperative evaluation and morcellation of fibroids, in line with the recent literature. (J Turk Ger Gynecol Assoc 2021; 22: 53-7).