Laparoscopic power morcellation
appears capable of causing fulminant uterine malignancies when used to remove uterine fibroids from women who have unsuspected uterine cancers.
Background: The Food and Drug Administration recently announced that the use of morcellation
may cause fibroids or pelvic dissemination and metastasis of uterine sarcoma; therefore, the use of morcellation
is limited in the USA.
In 2014, FDA issued the document on 'Laparoscopic Power Morcellation
during Uterine Surgery for Fibroids' after the meeting on devices advisory committed where multiple treatment modalities were discussed.
4] Among them, usual limitations in vaginal hysterectomy with non-descent uteri are bigger sizes, but now even with bigger sizes, hysterectomy can be facilitated by bisection, myomectomy, wedge debulking, intramyometrial coring, morcellation
and newer technique like technique of electrocautery and radiofrequency technology of sutureless surgery.
1,2) Moreover, the rates of both laparoscopic and abdominal myomectomy have decreased following the controversial morcellation
advisory issued by the US Food and Drug Administration.
market, enabling surgeons to isolate and perform uterine tissue morcellation
and extraction using the PneumoLiner containment device.
Results: There were no differences in patient demographics, enucleation time, morcellation
time, or tissue volume removed between the two groups.
Laparoscopic pretransplant nephrectomy with morcellation
in autosomic-dominant polycystic kidney disease patients with end-stage renal disease.
Disseminated leiomyomas occurring after laparoscopic morcellation
of a myoma is a rare but reported entity.
3 Since the introduction of laparoscopic morcellation
procedures few studies have found some complications.
2] There is also evidence that the incidence of this condition is increasing as a result of iatrogenic seeding of the peritoneal cavity after morcellation
of leiomyoma(s) at the time of minimally invasive surgical procedures.
Food and Drug Administration came out with a statement that discourages the use of laparoscopic power morcellation
in most hysterectomy and myomectomy procedures because there is a risk of spreading cancerous tissue beyond the uterus.