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Hysterectomy pp 219-232 | Cite as

Uterine Morcellation

  • Courtney J. StellerEmail author
  • Charles E. Miller
Chapter
  • 701 Downloads

Abstract

Minimally invasive surgical techniques have been proven to lead to decreased post operative pain, decreased morbidity, and faster recovery times when compared to open abdominal procedures. According to committee opinions from ACOG and the AAGL, the preferred route for hysterectomy is a minimally invasive approach, including a laparoscopic or vaginal approach when feasible. Fibroids are the most common indication for a hysterectomy (40.7 %) which in turn makes specimen removal difficult as the specimen size is often larger than the abdominal or vaginal incisions made during surgery. As stated by Wright et al., patients who are nulliparous or have a large uterine size are at higher risk of requiring alternate methods of specimen removal such as morcellation. Morcellation is defined as “division and removal in small pieces” in the Merriam-Webster dictionary. In addition, a similar challenge arises when removing tissue in the absence of a colpotomy, as in a supracervical hysterectomy or myomectomy.

Keywords

Morcellation Morcellator Hysterectomy Fibroid Leiomyoma Leiomyomata Leiomyosarcoma 

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Minimally Invasive Gynecologic Surgery, Obstetrics and GynecologyAdvocate Lutheran General HospitalPark RidgeUSA
  2. 2.Department of Obstetrics & GynecologyUniversity of Illinois at ChicagoChicagoUSA
  3. 3.Minimally Invasive Gynecologic SurgeryAdvocate Lutheran General HospitalPark RidgeUSA
  4. 4.The Advanced Gynecologic Surgery InstituteNapervilleUSA

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