Objective: To evaluate the effectiveness, safety, and cost effectiveness of electromechanical morcellation of the uterus and adnexae to enhance laparoscopic supracervical hysterectomy (LSH). Design: Forty-one consecutive cases of LSH with and without adnexectomy were reviewed. Each case utilized an electromechanical morcellator to accomplish laparoscopic removal of the uterus and adnexae. Setti...

•Uterine morcellation is common in minimally invasive hysterectomy but should be performed with caution due to risk of unsuspected malignancy.•Intraoperative techniques should be considered to minimize dissemination of endometrial tissue during morcellation.•Strategies to ensure accurate pathologic evaluation of morcellated specimens and to improve preoperative risk stratification before morcel...

BACKGROUND AND OBJECTIVES To evaluate the feasibility of a minimally invasive approach for hysterectomy for benign disease at a university teaching hospital. METHODS Five hundred thirty-seven consecutive patients underwent hysterectomy for benign disease at Penn State Milton S. Hershey Medical Center in 2010. No cases were excluded. Minimally invasive approaches included total vaginal hystere...

Between September 1991 and December 1993, 253 patients were operated on using the Classical Intrafascial SEMM (Serrated Edged Macro Morcellator) Hysterectomy (CISH) technique. One hundred fifty-two patients were assigned to pelviscopic CISH and 101 to laparotomic CISH. Uterine leiomyomas with menstrual disorders and pressure symptoms topped the list of indications with 61%. In all cases, initia...

The aim: To obtain the first estimates of current incidence, and risk factors for Surgical Site Infection (SSI) after laparoscopic hysterectomy, antimicrobial resistance responsible pathogens in Ukraine. Materials methods: We performed a multicenter prospective cohort study was patient-based on surveillance data SSIs were according to CDC/NHSN methodology. This included women’s undergoing hyste...

Parasitic fibroids are generally diagnosed incidentally at the time of surgery performed for symptomatic uterine fibroids. Torsion of a parasitic fibroid causing severe acute onset pain is extremely rare. We report a torsed parasitic fibroid in a patient who underwent hysterectomy using power morcellation for specimen retrieval. A 40-year-old patient with a history of laparoscopic supracervical...

OBJECTIVE To complete a systematic review of the published literature comparing complications, postoperative recovery time, and costs following laparoscopy-assisted vaginal hysterectomy, total abdominal hysterectomy (TAH), and vaginal hysterectomy. DATA SOURCES We searched MEDLINE and several bibliographies, identifying all reports using the term "laparoscopy-assisted hysterectomy" published ...