Abstract
StudyObjective: To determine the safety of manual vaginal morcellation by evaluating the rates of incidental uterine malignancy and manual vaginal morcellation after vaginal or laparoscopic-assisted vaginal hysterectomy. Design: Retrospective analysis (Canadian Task Force classification II-2). Setting: University of Texas Southwestern Medical Center, Dallas, TX. Patients: Women (n=1,629) undergoing vaginal or laparoscopic-assisted vaginal hysterectomy. Interventions: Vaginal hysterectomy (n=1,091) or laparoscopic-assisted vaginal hysterectomy (n=538) with and without scalpel morcellation. Measurements and Main Results: The number of uterine malignancies, rate of vaginal morcellation, surgical indications, pathology diagnoses, and uterine weights were evaluated. Chi-square analysis was used to compare categoric data, and analysis of variance was used to compare uterine weights. There were no cases of leiomyosarcomas. There were 2 other sarcomas, 4 smooth muscle tumors of uncertain malignant potential, and 8 endometrial adenocarcinomas. The vaginal morcellation rate was 19.4%, but no malignancy was morcellated. Myomas were more common preoperatively and histologically in morcellated specimens. Mean (± standard deviation) uterine weights for morcellated versus nonmorcellated laparoscopic-assisted vaginal hysterectomy specimens were 285.5±159.3 versus 140.1±83.6g (p
| Original language | English (US) |
|---|---|
| Journal | Journal of Minimally Invasive Gynecology |
| DOIs | |
| State | Accepted/In press - Dec 3 2015 |
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Keywords
- Incidental malignancy
- Morcellation
- Vaginal hysterectomy
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Safety of Manual Morcellation After Vaginal or Laparoscopic-assisted Vaginal Hysterectomy. / Balgobin, Sunil; Maldonado, Pedro A.; Chin, Kathleen; Schaffer, Joseph I.; Hamid, Cherine A.
In: Journal of Minimally Invasive Gynecology, 03.12.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Safety of Manual Morcellation After Vaginal or Laparoscopic-assisted Vaginal Hysterectomy
AU - Balgobin, Sunil
AU - Maldonado, Pedro A.
AU - Chin, Kathleen
AU - Schaffer, Joseph I.
AU - Hamid, Cherine A.
PY - 2015/12/3
Y1 - 2015/12/3
N2 - StudyObjective: To determine the safety of manual vaginal morcellation by evaluating the rates of incidental uterine malignancy and manual vaginal morcellation after vaginal or laparoscopic-assisted vaginal hysterectomy. Design: Retrospective analysis (Canadian Task Force classification II-2). Setting: University of Texas Southwestern Medical Center, Dallas, TX. Patients: Women (n=1,629) undergoing vaginal or laparoscopic-assisted vaginal hysterectomy. Interventions: Vaginal hysterectomy (n=1,091) or laparoscopic-assisted vaginal hysterectomy (n=538) with and without scalpel morcellation. Measurements and Main Results: The number of uterine malignancies, rate of vaginal morcellation, surgical indications, pathology diagnoses, and uterine weights were evaluated. Chi-square analysis was used to compare categoric data, and analysis of variance was used to compare uterine weights. There were no cases of leiomyosarcomas. There were 2 other sarcomas, 4 smooth muscle tumors of uncertain malignant potential, and 8 endometrial adenocarcinomas. The vaginal morcellation rate was 19.4%, but no malignancy was morcellated. Myomas were more common preoperatively and histologically in morcellated specimens. Mean (± standard deviation) uterine weights for morcellated versus nonmorcellated laparoscopic-assisted vaginal hysterectomy specimens were 285.5±159.3 versus 140.1±83.6g (p
AB - StudyObjective: To determine the safety of manual vaginal morcellation by evaluating the rates of incidental uterine malignancy and manual vaginal morcellation after vaginal or laparoscopic-assisted vaginal hysterectomy. Design: Retrospective analysis (Canadian Task Force classification II-2). Setting: University of Texas Southwestern Medical Center, Dallas, TX. Patients: Women (n=1,629) undergoing vaginal or laparoscopic-assisted vaginal hysterectomy. Interventions: Vaginal hysterectomy (n=1,091) or laparoscopic-assisted vaginal hysterectomy (n=538) with and without scalpel morcellation. Measurements and Main Results: The number of uterine malignancies, rate of vaginal morcellation, surgical indications, pathology diagnoses, and uterine weights were evaluated. Chi-square analysis was used to compare categoric data, and analysis of variance was used to compare uterine weights. There were no cases of leiomyosarcomas. There were 2 other sarcomas, 4 smooth muscle tumors of uncertain malignant potential, and 8 endometrial adenocarcinomas. The vaginal morcellation rate was 19.4%, but no malignancy was morcellated. Myomas were more common preoperatively and histologically in morcellated specimens. Mean (± standard deviation) uterine weights for morcellated versus nonmorcellated laparoscopic-assisted vaginal hysterectomy specimens were 285.5±159.3 versus 140.1±83.6g (p
KW - Incidental malignancy
KW - Morcellation
KW - Vaginal hysterectomy
UR - http://www.scopus.com/inward/record.url?scp=84957402638&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84957402638&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2016.01.014
DO - 10.1016/j.jmig.2016.01.014
M3 - Article
C2 - 26802908
AN - SCOPUS:84957402638
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
SN - 1553-4650
ER -