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使用封闭袋系统的阴道动力粉碎术:一种新型手术技术。

Vaginal power morcellation using a contained bag system: a novel surgical technique.

作者信息

Fuentes F, Maestri V, Tessmann Zomer Kondo M, Kondo W

出版信息

Facts Views Vis Obgyn. 2024 Dec;16(4):493-495. doi: 10.52054/FVVO.16.4.044.

DOI:10.52054/FVVO.16.4.044
PMID:39718334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11819787/
Abstract

BACKGROUND

To decrease the risk of unsuspected malignancies disseminating, several studies have shown the safety of using a containment bag to limit tissue dissemination during manual or power morcellation. Furthermore, in 2020, the FDA recommended performing laparoscopic power morcellation for myomectomy or hysterectomy only within a tissue containment system.

OBJECTIVE

To show step-by-step a new surgical technique using vaginal power morcellation within an endoscopic pouch without adding or extending other incisions.

MATERIALS AND METHODS

Video article describing vaginal power morcellation.

RESULTS

To perform power morcellation through vaginal introit, additional operative time was only 13 minutes.

CONCLUSIONS

Vaginal power morcellation using a contained bag system is technically feasible and efficient. Furthermore, it may prevent intraperitoneal dissemination of tissue fragments whilst minimising the need for additional surgical incisions.

摘要

背景

为降低未被察觉的恶性肿瘤播散风险,多项研究表明,在手动或电动粉碎术期间使用 containment bag(未明确具体含义,推测为一种防止组织播散的袋子)限制组织播散是安全的。此外,2020 年,美国食品药品监督管理局(FDA)建议仅在组织封闭系统内进行子宫肌瘤切除术或子宫切除术的腹腔镜电动粉碎术。

目的

逐步展示一种在内镜袋内使用阴道电动粉碎术的新手术技术,而无需增加或延长其他切口。

材料与方法

描述阴道电动粉碎术的视频文章。

结果

通过阴道入口进行电动粉碎术,额外手术时间仅为 13 分钟。

结论

使用封闭袋系统的阴道电动粉碎术在技术上是可行且有效的。此外,它可能防止组织碎片腹腔内播散,同时将额外手术切口的需求降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e036/11819787/3b4a9ac8ce72/FVVinObGyn-16-493-qr001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e036/11819787/3b4a9ac8ce72/FVVinObGyn-16-493-qr001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e036/11819787/3b4a9ac8ce72/FVVinObGyn-16-493-qr001.jpg

相似文献

1
Vaginal power morcellation using a contained bag system: a novel surgical technique.使用封闭袋系统的阴道动力粉碎术:一种新型手术技术。
Facts Views Vis Obgyn. 2024 Dec;16(4):493-495. doi: 10.52054/FVVO.16.4.044.
2
Laparoscopic Power Morcellation: Techniques to Avoid Tumoral Spread.腹腔镜动力粉碎术:避免肿瘤播散的技术。
J Minim Invasive Gynecol. 2021 Aug;28(8):1442-1443. doi: 10.1016/j.jmig.2020.09.012. Epub 2020 Sep 19.
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In-bag manual versus uncontained power morcellation for laparoscopic myomectomy.腹腔镜子宫肌瘤剔除术中袋内手动粉碎术与无包膜动力粉碎术的比较
Cochrane Database Syst Rev. 2020 May 6;5(5):CD013352. doi: 10.1002/14651858.CD013352.pub2.
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Sydney contained in bag morcellation for laparoscopic myomectomy.悉尼包含在腹腔镜子宫肌瘤切除术的碎瘤袋中。(此译文可能不太符合医学逻辑,原英文表述可能有误,正确的可能是“Sydney is contained in the bag during morcellation for laparoscopic myomectomy.”,意思是“在腹腔镜子宫肌瘤切除术的碎瘤过程中悉尼(可能是相关器械或物品名)被包含在袋子里” )
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Techniques for contained morcellation in gynecologic surgery.妇科手术中封闭切割的技术。
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Open power morcellation versus contained power morcellation within an insufflated isolation bag: comparison of perioperative outcomes.开放式动力粉碎术与在气腹隔离袋内进行的封闭式动力粉碎术:围手术期结果比较
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Contained tissue extraction using power morcellation: prospective evaluation of leakage parameters.使用电动组织粉碎器进行内容物提取:渗漏参数的前瞻性评估。
Am J Obstet Gynecol. 2016 Feb;214(2):257.e1-257.e6. doi: 10.1016/j.ajog.2015.08.076. Epub 2015 Sep 6.
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Cell Spillage after Contained Electromechanical Morcellation Using a Specially Designed In-Bag System for Laparoscopic Myomectomy: Prospective Cohort Pilot Study.腹腔镜子宫肌瘤剔除术中使用特制袋中系统进行封闭型机电旋切后细胞溢出:前瞻性队列初步研究。
J Minim Invasive Gynecol. 2019 Nov-Dec;26(7):1351-1356. doi: 10.1016/j.jmig.2019.01.014. Epub 2019 Jan 31.

本文引用的文献

1
Comparison of perioperative surgical outcomes between contained and free manual vaginal morcellation of large uteruses following total laparoscopic hysterectomy.比较全腹腔镜子宫切除术后大子宫经封闭和自由手动阴道分碎术的围手术期手术结局。
Int J Gynaecol Obstet. 2024 Mar;164(3):1167-1173. doi: 10.1002/ijgo.15224. Epub 2023 Nov 8.
2
Contained and uncontained morcellation in hysterectomy and myomectomy: A systematic review and meta-analysis.子宫切除术和肌瘤切除术中的有包膜和无包膜碎切术:一项系统评价和荟萃分析。
Turk J Obstet Gynecol. 2021 Dec 24;18(4):311-321. doi: 10.4274/tjod.galenos.2021.50607.
3
Laparoscopic Power Morcellation: Techniques to Avoid Tumoral Spread.
腹腔镜动力粉碎术:避免肿瘤播散的技术。
J Minim Invasive Gynecol. 2021 Aug;28(8):1442-1443. doi: 10.1016/j.jmig.2020.09.012. Epub 2020 Sep 19.
4
Tissue Extraction in Gynecologic Surgery: Past, Present, and Future.妇科手术中的组织提取:过去、现在和未来。
Clin Obstet Gynecol. 2020 Jun;63(2):305-319. doi: 10.1097/GRF.0000000000000511.
5
ACOG Committee Opinion No. 770: Uterine Morcellation for Presumed Leiomyomas.美国妇产科医师学会委员会意见 No.770:疑似平滑肌瘤的子宫分碎术。
Obstet Gynecol. 2019 Mar;133(3):e238-e248. doi: 10.1097/AOG.0000000000003126.
6
Public Awareness of Uterine Power Morcellation Through US Food and Drug Administration Communications: Analysis of Google Trends Search Term Patterns.通过美国食品药品监督管理局的沟通提升公众对子宫动力粉碎术的认知:谷歌趋势搜索词模式分析
JMIR Public Health Surveill. 2018 Apr 26;4(2):e47. doi: 10.2196/publichealth.9913.
7
Morcellation during Uterine Tissue Extraction: An Update.子宫组织切除术中的粉碎术:最新进展
J Minim Invasive Gynecol. 2018 May-Jun;25(4):543-550. doi: 10.1016/j.jmig.2018.03.010. Epub 2018 Mar 23.
8
Uncontained Compared With Contained Power Morcellation in Total Laparoscopic Hysterectomy.全腹腔镜子宫切除术中未封闭与封闭动力粉碎术的比较。
Obstet Gynecol. 2015 Oct;126(4):834-838. doi: 10.1097/AOG.0000000000001039.
9
Techniques for contained morcellation in gynecologic surgery.妇科手术中封闭切割的技术。
Fertil Steril. 2015 Apr;103(4):e34. doi: 10.1016/j.fertnstert.2015.01.022. Epub 2015 Feb 21.
10
Open power morcellation versus contained power morcellation within an insufflated isolation bag: comparison of perioperative outcomes.开放式动力粉碎术与在气腹隔离袋内进行的封闭式动力粉碎术:围手术期结果比较
J Minim Invasive Gynecol. 2015 Mar-Apr;22(3):433-8. doi: 10.1016/j.jmig.2014.11.010. Epub 2014 Nov 29.