Скачать или смотреть Laparoscopic Morcellation; surgical technique to remove large tissue masses, uterus or fibroids

🔪 Laparoscopic Morcellation is a surgical technique used to remove large tissue masses—like the uterus or fibroids—through small incisions during minimally invasive procedures. Here's a full breakdown:

🧬 What It Is
Morcellation involves cutting tissue into smaller fragments so it can be extracted through tiny laparoscopic ports.

A morcellator is the device used—often with rapidly rotating blades or mechanical jaws2.

Commonly used during:

Laparoscopic hysterectomy (removal of the uterus)

Laparoscopic myomectomy (removal of fibroids)

⚙️ How It Works
Surgeons make small abdominal incisions and insert a laparoscope and instruments.

The morcellator slices bulky tissue into strips or chunks for removal2.

This allows for less invasive surgery, avoiding large abdominal cuts.

✅ Benefits
Faster recovery and shorter hospital stays

Less postoperative pain

Smaller scars and better cosmetic outcomes

Lower risk of infection compared to open surgery

⚠️ Risks & Controversies
Tissue dissemination: Fragments of benign or malignant tissue may remain in the abdomen, potentially causing complications2.

Cancer spread: Rarely, undiagnosed uterine sarcomas can be morcellated and spread throughout the abdomen, worsening prognosis3.

FDA Warning: In 2014, the FDA discouraged power morcellation for uterine fibroids in peri- or postmenopausal women due to cancer risks.

🔍 Alternatives
En bloc removal: Extracting the uterus or fibroids whole, avoiding morcellation.

Vaginal or open surgery: May be preferred in high-risk patients.

#Laparoscopic #Morcellation