Kho Kimberly A, Brown Douglas N
*Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas †Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Clin Obstet Gynecol. 2016 Mar;59(1):85-92. doi: 10.1097/GRF.0000000000000168.
Increased awareness regarding risks associated with intracorporeal electromechanical, or power, morcellation has urged surgeons to develop alternative methods for tissue extraction that may mitigate some of these risks during surgery. The use of containment systems during laparoscopic procedures has allowed surgeons to continue to offer and perform myomectomies that still benefit from being minimally invasive but which may minimize the risk of inadvertent tissue dispersion. Here, we will review techniques for performing contained tissue fragmentation without the use of a power morcellator.
对体内电动机械粉碎术(即动力粉碎术)相关风险的认识提高,促使外科医生开发替代的组织提取方法,以在手术期间减轻其中一些风险。在腹腔镜手术中使用 containment 系统,使外科医生能够继续提供并实施子宫肌瘤切除术,这类手术仍受益于微创性,但可将意外组织播散的风险降至最低。在此,我们将回顾在不使用动力粉碎器的情况下进行组织受限破碎的技术。