Journal of the European Society for Gynaecological Endoscopy

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Vaginal power morcellation using a contained bag system: a novel surgical technique

F. Fuentes1, V. Maestri2, M. Tessmann Zomer Kondo2, W. Kondo2

1 Department of Obstetrics and Gynecology, Hospital of Curico, Curico, Chile
2 Department of Gynecological Surgery, Vita Batel Hospital, Curitiba, Brazil

Keywords:

Power morcellation, laparoscopic, endoscopic pouch


Published online: Dec 18 2024

https://doi.org/10.52054/FVVO.16.4.044

Abstract

Background: To decrease the risk of unsuspected malignancies disseminating, several studies have shown the safety of using a containment bag to limit tissue dissemination during manual or power morcellation. Furthermore, in 2020, the FDA recommended performing laparoscopic power morcellation for myomectomy or hysterectomy only within a tissue containment system.

Objective: To show step-by-step a new surgical technique using vaginal power morcellation within an endoscopic pouch without adding or extending other incisions.

Materials and methods: Video article describing vaginal power morcellation.

Results: To perform power morcellation through vaginal introit, additional operative time was only 13 minutes.

Conclusions: Vaginal power morcellation using a contained bag system is technically feasible and efficient. Furthermore, it may prevent intraperitoneal dissemination of tissue fragments whilst minimising the need for additional surgical incisions.

Video scan (read QR)

https://vimeo.com/992069429/7c26e241ab