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

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.