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Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? A Randomized Controlled Trial.
Gynecol Obstet Invest. 2018; 83(1):52-56.GO

Abstract

AIMS

The study aimed to evaluate feasibility and safety of in-bag manual morcellation compared to uncontained power morcellation during laparoscopic myomectomy.

METHODS

A total of 72 women undergoing laparoscopic myomectomy were randomized into 2 treatment groups: 34 patients underwent in-bag manual morcellation (experimental group) and 38 were submitted to uncontained power morcellation (control group). The primary end point was the comparison of morcellation operative time (MOT). Total operative time (TOT), rate of intraoperative complication, and postoperative outcomes in the 2 groups were regarded as secondary outcomes.

RESULTS

Mean MOT and TOT were longer in the experimental group than in the control one (MOT: 9.47 ± 5.05 vs. 6.16 ± 7.73 min; p = 0.01; TOT: 113.24 ± 28.12 vs. 96.74 ± 33.51 min; p = 0.01). No intraoperative complications occurred in either group and no cases of bag disruption or laparotomic conversion were recorded. No significant difference in hemoglobin drop, hospital stay, and postoperative outcomes was reported between groups.

CONCLUSION

In-bag manual morcellation appears a safe and feasible procedure and, despite slightly longer operative time, could represent an alternative to uncontained power morcellation.

Authors+Show Affiliations

Department of Gynaecology and Human Reproduction Physiopathology, DIMEC, S. Orsola Hospital, University of Bologna, Massarenti, Bologna, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28586771

Citation

Frascà, Clarissa, et al. "Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? a Randomized Controlled Trial." Gynecologic and Obstetric Investigation, vol. 83, no. 1, 2018, pp. 52-56.
Frascà C, Degli Esposti E, Arena A, et al. Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? A Randomized Controlled Trial. Gynecol Obstet Invest. 2018;83(1):52-56.
Frascà, C., Degli Esposti, E., Arena, A., Tuzzato, G., Moro, E., Martelli, V., & Seracchioli, R. (2018). Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? A Randomized Controlled Trial. Gynecologic and Obstetric Investigation, 83(1), 52-56. https://doi.org/10.1159/000477171
Frascà C, et al. Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? a Randomized Controlled Trial. Gynecol Obstet Invest. 2018;83(1):52-56. PubMed PMID: 28586771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can In-Bag Manual Morcellation Represent an Alternative to Uncontained Power Morcellation in Laparoscopic Myomectomy? A Randomized Controlled Trial. AU - Frascà,Clarissa, AU - Degli Esposti,Eugenia, AU - Arena,Alessandro, AU - Tuzzato,Gianmarco, AU - Moro,Elisa, AU - Martelli,Valentina, AU - Seracchioli,Renato, Y1 - 2017/06/07/ PY - 2017/02/07/received PY - 2017/04/30/accepted PY - 2017/6/7/pubmed PY - 2018/7/19/medline PY - 2017/6/7/entrez KW - Laparoscopy KW - Morcellation KW - Myomectomy KW - Tissue extraction KW - Uterine fibroids SP - 52 EP - 56 JF - Gynecologic and obstetric investigation JO - Gynecol. Obstet. Invest. VL - 83 IS - 1 N2 - AIMS: The study aimed to evaluate feasibility and safety of in-bag manual morcellation compared to uncontained power morcellation during laparoscopic myomectomy. METHODS: A total of 72 women undergoing laparoscopic myomectomy were randomized into 2 treatment groups: 34 patients underwent in-bag manual morcellation (experimental group) and 38 were submitted to uncontained power morcellation (control group). The primary end point was the comparison of morcellation operative time (MOT). Total operative time (TOT), rate of intraoperative complication, and postoperative outcomes in the 2 groups were regarded as secondary outcomes. RESULTS: Mean MOT and TOT were longer in the experimental group than in the control one (MOT: 9.47 ± 5.05 vs. 6.16 ± 7.73 min; p = 0.01; TOT: 113.24 ± 28.12 vs. 96.74 ± 33.51 min; p = 0.01). No intraoperative complications occurred in either group and no cases of bag disruption or laparotomic conversion were recorded. No significant difference in hemoglobin drop, hospital stay, and postoperative outcomes was reported between groups. CONCLUSION: In-bag manual morcellation appears a safe and feasible procedure and, despite slightly longer operative time, could represent an alternative to uncontained power morcellation. SN - 1423-002X UR - https://www.unboundmedicine.com/medline/citation/28586771/Can_In_Bag_Manual_Morcellation_Represent_an_Alternative_to_Uncontained_Power_Morcellation_in_Laparoscopic_Myomectomy_A_Randomized_Controlled_Trial_ L2 - https://www.karger.com?DOI=10.1159/000477171 DB - PRIME DP - Unbound Medicine ER -