Obrzut Bogdan, Kijowska Marta, Obrzut Marzanna, Mrozek Adam, Darmochwał-Kolarz Dorota
Department of Obstetrics and Gynecology, Institute of Medical Sciences, Medical College, University of Rzeszów, Rejtana 16 C, 35-959 Rzeszow, Poland.
Department of Obstetrics and Gynecology, Provincial Clinical Hospital No. 2 Rzeszow, Lwowska 60, 35-301 Rzeszow, Poland.
Healthcare (Basel). 2023 Sep 7;11(18):2481. doi: 10.3390/healthcare11182481.
Uterine fibromas are the most common benign uterine tumors. Although the majority of leiomyomas remain asymptomatic, they can cause serious clinical problems, including abnormal uterine bleeding, pelvic pain, and infertility, which require effective gynecological intervention. Depending on the symptoms as well as patients' preferences, various treatment options are available, such as medical therapy, non-invasive procedures, and surgical methods. Regardless of the extent of the surgery, the preferred option is the laparoscopic approach. To reduce the risk of spreading occult malignancy and myometrial cells associated with fragmentation of the specimen before its removal from the peritoneal cavity, special systems for laparoscopic contained morcellation have been developed. The aim of this review is to present the state-of-the-art contained morcellation. Different types of available retrieval bags are demonstrated. The advantages and difficulties associated with contained morcellation are described. The impact of retrieval bag usage on the course of surgery, as well as the effects of the learning curve, are discussed. The role of contained morcellation in the overall strategy to optimize patient safety is highlighted.
子宫纤维瘤是最常见的子宫良性肿瘤。尽管大多数平滑肌瘤没有症状，但它们会引发严重的临床问题，包括异常子宫出血、盆腔疼痛和不孕，这需要有效的妇科干预。根据症状以及患者的偏好，可以采用多种治疗方法，如药物治疗、非侵入性手术和手术方法。无论手术范围如何，首选的方法是腹腔镜手术。为了降低在将标本从腹腔取出之前与标本破碎相关的隐匿性恶性肿瘤和肌层细胞扩散的风险，已经开发了用于腹腔镜封闭粉碎术的特殊系统。这篇综述的目的是介绍最新的封闭粉碎术。展示了不同类型的可用回收袋。描述了与封闭粉碎术相关的优点和困难。讨论了回收袋的使用对手术过程的影响以及学习曲线的效果。强调了封闭粉碎术在优化患者安全的整体策略中的作用。
