Laparoscopic Hysterectomy for Uterine Fibroids: Is it Safe?

被引:9
作者
Hinchcliff, Emily M. [1 ]
Cohen, Sarah L. [2 ]
机构
[1] Brigham & Womens Hosp, Dept Obstet & Ginecol, 75 Francis St, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Div Minimally Invas Gynecol Surg, 75 Francis St, Boston, MA 02115 USA
关键词
fibroids; hysterectomy; laparoscopy; morcellator; VAGINAL MORCELLATION; SURGERY; IMPACT; CANCER; LEIOMYOSARCOMAS; COMPLICATIONS; MYOMECTOMY; MANAGEMENT; LEIOMYOMA; STRATEGY;
D O I
10.1097/GRF.0000000000000165
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
As more complex cases and larger uterine specimens are able to be managed with minimally invasive surgery, the limitations of tissue retrieval with these methods are of increasing concern. Risks of morcellator-related injury, tissue dissemination, or fragmentation must be weighed against increased morbidity of abdominal approach to hysterectomy. In an effort to mitigate the risks of tissue morcellation, containment system use must be considered when fragmenting a specimen, either with power morcellation or a manual technique via the vagina or minilaparotomy.
引用
收藏
页码:66 / 72
页数:7
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