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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Obstet+Gynecol 2015 ; 212 (6): 717-24 Nephropedia Template TP
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A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature #MMPMID25582101
Liu FW; Galvan-Turner VB; Pfaendler KS; Longoria TC; Bristow RE
Am J Obstet Gynecol 2015[Jun]; 212 (6): 717-24 PMID25582101show ga
Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has been questioned. Morcellation is an integral part of making laparoscopic surgery possible for the removal of large uterine leiomyomata, and the development of power morcellation has increased efficiency during these procedures. Minimally invasive surgery has demonstrated benefits that include improved pain control, decreased infection risk, and faster surgical recovery and return to work. In this review, we examine the risk of incidental sarcoma at the time of surgery, the quality of the data, the accuracy of clinical and radiologic predictors of uterine sarcoma, and the impact of morcellation on the prognosis of uterine sarcoma.