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Archives of Gynecology and Obstetrics

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01-07-2016 | General Gynecology

First clinical experiences using a new in-bag morcellation system during laparoscopic hysterectomy

Authors: Stefan Rimbach, Annette Holzknecht, Claudia Schmedler, Constanze Nemes, Felix Offner

Published in: Archives of Gynecology and Obstetrics | Issue 1/2016

Abstract

Introduction

Endoscopic techniques have successfully reduced the invasiveness of hysterectomy, when compared to open procedures. Power morcellation, as a part of the minimal invasive concept, carries the risk of disseminating cells from the tissue specimen. The present observational study reports on first experiences using a new system (More-Cell-Safe, A.M.I., Austria) for contained in-bag morcellation during laparoscopic hysterectomy.

Materials and methods

The dual opening system allows two-port access without bag puncture. The optic is protected against spread cell contamination with a disposable sleeve. Application data were prospectively recorded on the first n = 7 consecutive patients and compared to n = 7 preceding patients undergoing uncontained morcellation.

Results

Bag system use was surgically successful in 6 of 7 cases (85.7 %). Morcellated specimen weight ranged from 205 to 638 g (mean 413.33 ± 176.85; median 413). In one patient, the uterine specimen (1050 g) proved too large to be placed into the bag. Average time associated to the bag use was 16.2 ± 7.65 min, ranging from 8.5 to 26.5 min (median 14 min). Removed bags contained bloody fluid with residual tissue fragments weighing overall between 21 and 85 g. Spread spindle cells were detected in two cases after uncontained morcellation, but not after in-bag morcellation.

Conclusion

The experiences from our small pilot series prove technical feasibility in the clinical setting.

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Title: First clinical experiences using a new in-bag morcellation system during laparoscopic hysterectomy
Authors: Stefan Rimbach
Annette Holzknecht
Claudia Schmedler
Constanze Nemes
Felix Offner
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 1/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3986-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

First clinical experiences using a new in-bag morcellation system during laparoscopic hysterectomy

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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