Open AccessComparison of methods of morcellation: manual versus power
Author(s) -
Moawad Gaby N.,
Abi Khalil Elias D.,
OpokuAnane Jessica,
Marfori Cherie Q.,
Harman Alice C.,
Fisher Steven,
Levy Matt,
Robinson James K.
Publication year - 2016
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12783
Subject(s) - medicine , laparotomy , hysterectomy , surgery , retrospective cohort study , blood loss , uterine myomectomy , laparoscopy , blood transfusion , cohort study , myoma , uterus , pathology
Abstract Introduction With the growing controversy surrounding power morcellation ( PM ), other approaches must be examined so that women may still benefit from minimally invasive gynecologic surgeries. In this study we sought to compare power morcellation to manual morcellation through mini‐laparotomy or vaginally. Materials and Methods Retrospective cohort study carried out at an urban teaching hospital including 274 women who underwent a minimally invasive myomectomy or hysterectomy, requiring morcellation for tissue extraction. Surgical outcomes were compared between PM , manual morcellation through mini‐laparotomy ( MMM ) and manual morcellation through the vagina ( MMV ). Primary outcome measured was operative time. Secondary outcomes were intraoperative and postoperative complications. Results Compared with PM , MMM was associated with shorter operative time for hysterectomy, (140.5 min vs. 164.2 min, p = 0.05). Intraoperative and postoperative complications were similar among groups. There were four postoperative complications in the MMV group, one related to blood transfusion and three related to postoperative vaginal cuff and pelvic infections. Conclusion Compared with PM , MMM is associated with shorter operative time during hysterectomies. Intraoperative and postoperative complications were similar among groups.