Morcellation in gynecology: short review and suggestions from Turkish Society of Minimally Invasive Gynecologic Oncology

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TAŞKIN S., VARLI B., Yalçın İ., ORTAÇ U. F., Taskiran C., GÜNGÖR M.

JOURNAL OF THE TURKISH-GERMAN GYNECOLOGICAL ASSOCIATION, cilt.22, sa.1, ss.53-57, 2021 (ESCI) identifier identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 22 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.4274/jtgga.galenos.2020.2020.0107
  • Dergi Adı: JOURNAL OF THE TURKISH-GERMAN GYNECOLOGICAL ASSOCIATION
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.53-57
  • Anahtar Kelimeler: Myomectomy, hysterectomy, morcellation, laparoscopic surgery, vaginal surgery, UTERINE SARCOMA, LEIOMYOSARCOMA, MALIGNANCY, LEIOMYOMA, FIBROIDS, SURGERY, BENIGN, IMPACT, TUMOR, RISK
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

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.