Home > Journals > Minerva Ginecologica > Past Issues > Articles online first > Minerva Ginecologica 2017 Nov 21

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index


eTOC

 

Minerva Ginecologica 2017 Nov 21

DOI: 10.23736/S0026-4784.17.04167-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Electromechanical Morcellators’ black-box warning: tribulations, expectations and solutions

Papri SARKAR, Emad MIKHAIL, Lenox HOYTE, Shayne PLOSKER, Anthony IMUDIA

Department of Obstetrics & Gynecology, Morsani College School of Medicine, University of South Florida, Tampa, FL, USA


PDF  


Laparoscopic minimally invasive gynecologic surgery (MIGS) for benign conditions results in decreased morbidity, and faster recovery, compared with laparotomy. Tissue fragmentation by electromechanical morcellation permits the removal of large specimens through small laparoscopic incisions. Since the US Food and Drug Administration (FDA) published its safety warning about the risk of power morcellators spreading cancer during fibroid surgery in 2014, power morcellation has become rare. MIGS for fibroids and other large tissue specimens has declined. Current alternatives to preserve MIGS for large specimens include intact specimen retrieval through peri-umbilical mini-laparotomy incisions, vaginal removal, or in-bag manual morcellation, have limitations. Innovative intracorporeal containment tissue extraction system (ICTES) prototypes capable of enclosing, manipulating, morcellating, and removing tissue, while avoiding intraperitoneal leakage and maintaining pneumoperitoneum, are being evaluated. There is ample opportunity to optimize efficacy of ICTES by scientific study in clinical trials.


KEY WORDS: Containment bag - FDA safety warning - Laparoscopy - Morcellator - Uterine sarcoma

top of page

Publication History

Article first published online: November 21, 2017
Manuscript accepted: November 13, 2017
Manuscript received: October 27, 2017

Cite this article as

Sarkar P, Mikhail E, Hoyte L, Plosker S, Imudia A. Electromechanical Morcellators’ black-box warning: tribulations, expectations and solutions. Minerva Ginecol 2017 Nov 21. DOI: 10.23736/S0026-4784.17.04167-3

Corresponding author e-mail

aimudia@health.usf.edu