Open AccessNovel technique of extracorporeal intrauterine morcellation after total laparoscopic hysterectomy: Three emblematic case reports
Author(s) -
Antonio Macciò,
E. Sanna,
Fabrizio Lavra,
Pietro Giorgio Calò,
Clelia Madeddu
Publication year - 2021
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v9.i20.5655
Subject(s) - medicine , extracorporeal , hysterectomy , laparoscopy , laparoscopic hysterectomy , general surgery , surgery
In the presence of a large uterus, total laparoscopic hysterectomy (TLH), always requires morcellation to allow removal of the tissues from the abdominal cavity. However, uncontained morcellation has been scrutinized because of the possible spread of occult leiomyosarcoma. Therefore, in-bag extracorporeal morcellation has been developed. However, tissue containment and extraction are extremely challenging, especially when considering the increasing uterine size to be removed through minimally invasive surgery.