The majority of strictures after HoLEP are likely due to the use of a larger nephroscope for morcellation
. (8) Shah et al.
Recent scientific literature has shown that certain surgical manipulations, including power morcellation
, can significantly increase the risk of dissemination of tumor formations.
Appropriate candidates can undergo power morcellation
using an FDA-approved device, (TABLE 1), allowing for the removal of smaller pieces through a small laparoscopic incision or the colpotomy.
Hospital treatments include: | Hysteroscopic morcellation
: A hysteroscope is inserted into the womb through the cervix and an instrument called a morcellator is used to cut or "shave" away small abnormalities, such as polyps.
Twelve-month outcomes for patients undergoing hysteroseopie morcellation
of uterine polyps and myomas in an office or ambulatory surgical center.
Holmium laser enucleation of the prostate (HoLEP) combined with transurethral tissue morcellation
: An update on the early clinical experience.
On June 19, transurethral HoLEP was performed in lithotomy position, without morcellation
and extraction of lobes, as is typical.
Food and Drug Administration black box warning against the use of power morcellation
for excision of uterine fibroids, according to a study published online April 11 in JAMA Surgery.
in the bag: the superior solution to avoid spillage.
Laparoscopic power morcellation
appears capable of causing fulminant uterine malignancies when used to remove uterine fibroids from women who have unsuspected uterine cancers.
Furthermore, after the US Food and Drug Administration statement warning against electronic morcellation
devices, minilaparotomy surgeries in gynecology have found a new interest either as a complete procedure or at least for specimen retrieval following laparoscopic/robotic surgeries.
Notably, uterine morcellation
during minimally invasive surgery has been associated with worse survival outcomes in patients with undiagnosed LMS and is discouraged by the U.S.