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Techniques for Laparoscopic Contained Tissue Extraction

  • Minimally Invasive Gynecologic Surgery (S Puntambekar, Section Editor)
  • Published:
Current Obstetrics and Gynecology Reports Aims and scope Submit manuscript

Abstract

Traditionally, uncontained electromechanical morcellation was the preferred technique by gynecologists for tissue extraction in minimally invasive surgery. However, recent reports of inadvertent morcellation of undiagnosed sarcomas and dissemination of the tissue fragments have led to change in surgical approach. A number of techniques for contained morcellation have been proposed as an alternative to traditional techniques. A review of literature about contained tissue extraction in gynecological laparoscopic surgery has been performed in this article. Several techniques have been described, using either a specimen bag or a specially designed bag, performed by single-site or two-port technique. In-bag morcellation with specially designed bags offer an improvement over open morcellation and allows more patients to have the benefits of minimally invasive surgery without resorting to laparotomy.

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Authors and Affiliations

  1. Paul’s Hospital, Centre for Advanced Endoscopy and Infertility Treatment, Vattekkattu Road, Kaloor, Kochi, Kerala, 682017, India

    P. G. Paul, Aditya S. Khurd, T Radhika K., Saumya Bulusu & George Paul

Authors
  1. P. G. Paul
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  2. Aditya S. Khurd
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  3. T Radhika K.
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  4. Saumya Bulusu
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  5. George Paul
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Corresponding author

Correspondence to P. G. Paul.

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Conflict of Interest

P.G. Paul declares a patent pending titled “future modification of the MorSafe bag” and Dr. Paul declares to be the first user of the MorSafe bag. Aditya S. Khurd, Radhika K. T., Saumya Bulusu, and George Paul declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

In this article, the studies performed by the authors were formally approved by the ethics committee (Institutional Review Board) of Paul’s Hospital, Kochi, Kerala, India.

Additional information

This article is part of the Topical Collection on Minimally Invasive Gynecologic Surgery

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Paul, P.G., Khurd, A.S., Radhika K., T. et al. Techniques for Laparoscopic Contained Tissue Extraction. Curr Obstet Gynecol Rep 5, 325–332 (2016). https://doi.org/10.1007/s13669-016-0185-8

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  • DOI: https://doi.org/10.1007/s13669-016-0185-8

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