Departments of Obstetrics and Gynecology (Drs. Haber and Namazi).
Departments of Obstetrics and Gynecology (Drs. Haber and Namazi).
J Minim Invasive Gynecol. 2021 Mar;28(3):388. doi: 10.1016/j.jmig.2020.08.021. Epub 2020 Aug 31.
Morcellation is a technique to remove large specimens by means of small incisions and is commonly used in gynecologic procedures [1]. In this video, we demonstrate contained manual morcellation techniques in benign gynecologic surgeries.
Stepwise demonstration of 4 techniques with narrated video footage.
Tertiary academic teaching hospital.
This video showcases 4 contained manual morcellation techniques: abdominal extraction through an umbilical "mini-laparotomy" incision, abdominal extraction through a suprapubic "mini-laparotomy" incision, transvaginal extraction through the colpotomy, and transvaginal extraction through the posterior cul-de-sac with the uterus in place. A particular strategy should be selected on the basis of appropriate patient characteristics and surgical factors [2].
Minimizing risk during tissue extraction is critical to minimally invasive procedures. The morcellation techniques displayed in this video allow for tissue extraction through small incisions while reducing the risk of spreading an undiagnosed malignancy.
切割是通过小切口切除大标本的一种技术，常用于妇科手术[1]。在本视频中，我们演示了良性妇科手术中包含的手动切割技术。
分步演示 4 种技术，并配有解说视频。
三级学术教学医院。
本视频展示了 4 种包含手动切割的技术：通过脐部“迷你腹腔镜”切口进行腹部提取、通过耻骨上“迷你腹腔镜”切口进行腹部提取、通过阴道切开术进行经阴道提取、以及在子宫在位的情况下通过后穹隆进行经阴道提取。应根据患者的具体特征和手术因素选择特定的策略[2]。
在组织提取过程中尽量降低风险对于微创程序至关重要。本视频中展示的切割技术可通过小切口进行组织提取，同时降低传播未确诊恶性肿瘤的风险。
