Taylan Enes, Sahin Cagdas, Zeybek Burak, Akdemir Ali
Laboratory of Molecular Reproduction and Fertility Preservation, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, New York Medical College, New York, NY, USA; Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey.
Department of Obstetrics and Gynecology, Ege University School of Medicine , Izmir , Turkey.
Front Surg. 2017 Mar 14;4:15. doi: 10.3389/fsurg.2017.00015. eCollection 2017.
Power morcellation of surgical specimen during laparoscopic surgery is a practical technology that provides the opportunity to perform several minimally invasive procedures. However, this technology brought forward additional risks and complications associated with dissemination of both benign and malignant tissues inside the abdominal cavity. Based on startling cases, Food and Drug Administration (FDA) announced a discouraging statement on the use of power morcellators that decreased the number of minimally invasive approaches in the following period. As a response to these concerns and negative impacts of the FDA statement, researchers developed several new approaches resulting in contained or in-bag morcellation methods. In this review, we aimed to discuss these current methods and provide an insight for future developments.
腹腔镜手术期间对手术标本进行动力粉碎术是一项实用技术,它为实施多种微创手术提供了机会。然而,这项技术带来了与腹腔内良性和恶性组织播散相关的额外风险和并发症。基于一些惊人案例,美国食品药品监督管理局(FDA)发布了一项关于动力粉碎器使用的令人沮丧的声明,这导致在随后一段时间内微创手术方法的数量减少。作为对这些担忧以及FDA声明负面影响的回应,研究人员开发了几种新方法,从而产生了封闭式或袋内粉碎术方法。在本综述中,我们旨在讨论这些当前方法,并为未来发展提供见解。