In-bag power morcellation technique in single-port laparoscopic myomectomy

Young Bin Won, Hyun Jin Lee, Kyung Jin Eoh, Young Shin Chung, Yong Jae Lee, Seon Hee Park, Jee Whan Kim, Jung Yoon Lee, Eun Ji Nam, Sunghoon Kim, Young Tae Kim, Sang Wun Kim

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Abstract

Objective This study introduces and evaluates the feasibility, safety, and surgical outcomes of the in-bag power morcellation technique during single-port assisted (SPA) laparoscopic myomectomy in comparison with manual scalpel morcellation. Methods This is a retrospective review of a total of 58 patients who underwent SPA laparoscopic myomectomy employing in-bag power morcellation (n=27) or manual scalpel morcellation (n=31), performed between December 2014 and December 2016. Surgical outcomes, including total operation time, estimated blood loss, postoperative hemoglobin changes, postoperative hospital stay, postoperative pain (visual analog scale), perioperative and postoperative complications were evaluated. Results The demographics and patient characteristics were similar between both groups. The median patient age was 34 years and median body mass index was 20.84 kg/m2. The median specimen weight was 110 g. The median operating time was 138 minutes. The median estimated blood loss was 50 mL and the median postoperative hemoglobin change was 2.2 g/dL. The median postoperative hospital stay was 2 days and the median postoperative pain scores were 5 after 6 hours, 3 after 24 hours, and 2 after 48 hours. Occult malignancy was not identified in any patients. There were no intraoperative complications such as LapBag ruptures or gross spillage. Conclusion In-bag power morcellation for SPA laparoscopic myomectomy is feasible and safe, minimizing the risks of open power morcellation. There were also no statistically significant differences in surgical outcomes.

Original languageEnglish
Pages (from-to)267-273
Number of pages7
JournalObstetrics and Gynecology Science
Volume61
Issue number2
DOIs
Publication statusPublished - 2018 Mar 1

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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    Won, Y. B., Lee, H. J., Eoh, K. J., Chung, Y. S., Lee, Y. J., Park, S. H., Kim, J. W., Lee, J. Y., Nam, E. J., Kim, S., Kim, Y. T., & Kim, S. W. (2018). In-bag power morcellation technique in single-port laparoscopic myomectomy. Obstetrics and Gynecology Science, 61(2), 267-273. https://doi.org/10.5468/ogs.2018.61.2.267