Comment diagnostiquer une nécessité de morcellation ?
Un diagnostic par imagerie et évaluation clinique peut indiquer la morcellation.
Diagnostic médicalImagerie médicale
#2
Quels examens précèdent une morcellation ?
Des échographies, IRM ou CT-scan sont souvent réalisés avant la morcellation.
ÉchographieIRM
#3
Quels signes cliniques nécessitent une morcellation ?
Des masses ou des fibromes utérins peuvent nécessiter une morcellation pour traitement.
Fibromes utérinsMasse abdominale
#4
La morcellation est-elle toujours nécessaire ?
Non, elle est réservée aux cas où le retrait complet est difficile sans cette technique.
ChirurgieIntervention chirurgicale
#5
Quels sont les critères d'évaluation pour la morcellation ?
Les critères incluent la taille de la masse, l'emplacement et l'état général du patient.
Évaluation cliniqueCritères diagnostiques
Symptômes
5
#1
Quels symptômes indiquent une morcellation ?
Des douleurs abdominales, des saignements anormaux ou des masses palpables peuvent indiquer.
Douleur abdominaleSaignement
#2
La morcellation soulage-t-elle les symptômes ?
Oui, elle peut soulager les symptômes liés aux masses ou fibromes après intervention.
Soulagement des symptômesFibromes utérins
#3
Quels symptômes post-morcellation sont fréquents ?
Des douleurs légères et des saignements peuvent survenir après la morcellation.
Douleur post-opératoireSaignement post-opératoire
#4
Y a-t-il des symptômes d'alerte après morcellation ?
Des douleurs intenses ou des saignements excessifs nécessitent une consultation immédiate.
Complications chirurgicalesUrgence médicale
#5
Les symptômes varient-ils selon le type de morcellation ?
Oui, les symptômes peuvent varier selon la technique utilisée et la zone opérée.
Techniques chirurgicalesVariabilité des symptômes
Prévention
5
#1
Peut-on prévenir la nécessité de morcellation ?
Une surveillance régulière des masses peut aider à prévenir des interventions chirurgicales.
PréventionSurveillance médicale
#2
Quels facteurs de risque augmentent la morcellation ?
Les antécédents de fibromes ou de maladies utérines augmentent le risque de morcellation.
Facteurs de risqueFibromes utérins
#3
Des examens réguliers aident-ils à prévenir la morcellation ?
Oui, des examens gynécologiques réguliers peuvent détecter des problèmes tôt.
Examens gynécologiquesPrévention des maladies
#4
L'alimentation influence-t-elle le risque de morcellation ?
Une alimentation équilibrée peut réduire certains risques de maladies nécessitant morcellation.
AlimentationSanté préventive
#5
Le mode de vie affecte-t-il le besoin de morcellation ?
Oui, un mode de vie sain peut réduire le risque de développer des masses nécessitant morcellation.
Mode de viePrévention des maladies
Traitements
5
#1
Quels traitements précèdent la morcellation ?
Des traitements hormonaux ou médicamenteux peuvent être envisagés avant la morcellation.
Traitement hormonalMédicaments
#2
La morcellation est-elle un traitement curatif ?
Elle peut être curative pour certaines masses, mais pas pour toutes les conditions.
Traitement curatifChirurgie
#3
Quels types de morcellation existent ?
Il existe la morcellation laparoscopique et la morcellation ouverte, selon le cas.
Chirurgie laparoscopiqueMorcellation ouverte
#4
La morcellation nécessite-t-elle une anesthésie ?
Oui, elle est généralement réalisée sous anesthésie générale ou régionale.
Anesthésie généraleAnesthésie régionale
#5
Quels soins post-opératoires sont nécessaires ?
Des soins incluent le suivi des douleurs, des saignements et la gestion des complications.
Soins post-opératoiresGestion des complications
Complications
5
#1
Quelles complications peuvent survenir après morcellation ?
Des complications incluent des infections, des saignements ou des lésions organiques.
Complications chirurgicalesInfections
#2
Comment gérer les complications post-morcellation ?
La gestion inclut des antibiotiques pour infections et des soins pour saignements.
Gestion des complicationsAntibiotiques
#3
Les complications sont-elles fréquentes après morcellation ?
Les complications sont rares mais possibles, nécessitant un suivi médical.
Fréquence des complicationsSuivi médical
#4
Quels signes indiquent une complication après morcellation ?
Des douleurs intenses, fièvre ou saignements excessifs sont des signes d'alerte.
Signes d'alerteComplications post-opératoires
#5
La morcellation augmente-t-elle le risque de cancer ?
Il existe des préoccupations sur le risque de dissémination de cellules cancéreuses.
Risque de cancerDissémination
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque de morcellation ?
Les antécédents familiaux de fibromes et l'âge sont des facteurs de risque importants.
Antécédents familiauxFibromes utérins
#2
Le surpoids influence-t-il le risque de morcellation ?
Oui, le surpoids peut augmenter le risque de développer des fibromes nécessitant morcellation.
SurpoidsFibromes utérins
#3
Les hormones jouent-elles un rôle dans la morcellation ?
Oui, les déséquilibres hormonaux peuvent contribuer à la formation de fibromes.
HormonesFibromes utérins
#4
L'âge est-il un facteur de risque pour la morcellation ?
Oui, les femmes de plus de 30 ans sont plus susceptibles de nécessiter une morcellation.
ÂgeFibromes utérins
#5
Les antécédents médicaux influencent-ils le risque ?
Oui, des antécédents de maladies utérines augmentent le risque de morcellation.
Antécédents médicauxMaladies utérines
{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Morcellation : Questions médicales les plus fréquentes",
"headline": "Morcellation : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Morcellation : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-06-14",
"dateModified": "2026-06-04",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Morcellation"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Interventions chirurgicales mini-invasives",
"url": "https://questionsmedicales.fr/mesh/D019060",
"about": {
"@type": "MedicalCondition",
"name": "Interventions chirurgicales mini-invasives",
"code": {
"@type": "MedicalCode",
"code": "D019060",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "E04.502"
}
}
},
"about": {
"@type": "MedicalCondition",
"name": "Morcellation",
"alternateName": "Morcellation",
"code": {
"@type": "MedicalCode",
"code": "D000069577",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Xiao Xu",
"url": "https://questionsmedicales.fr/author/Xiao%20Xu",
"affiliation": {
"@type": "Organization",
"name": "Departments of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT; Cancer Outcomes Public Policy and Effectiveness Research Center, Yale School of Medicine, New Haven, CT. Electronic address: xiao.xu@yale.edu."
}
},
{
"@type": "Person",
"name": "Jason D Wright",
"url": "https://questionsmedicales.fr/author/Jason%20D%20Wright",
"affiliation": {
"@type": "Organization",
"name": "Department of Obstetrics and Gynecology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY."
}
},
{
"@type": "Person",
"name": "Madeleine Lemyre",
"url": "https://questionsmedicales.fr/author/Madeleine%20Lemyre",
"affiliation": {
"@type": "Organization",
"name": "Department of Obstetrics and Gynaecology, Centre Hospitalier Universitaire de Québec, Université Laval, Québec, QC."
}
},
{
"@type": "Person",
"name": "Sarah Maheux-Lacroix",
"url": "https://questionsmedicales.fr/author/Sarah%20Maheux-Lacroix",
"affiliation": {
"@type": "Organization",
"name": "Department of Obstetrics and Gynaecology, Centre Hospitalier Universitaire de Québec, Université Laval, Québec, QC. Electronic address: sarah.maheux.lacroix@gmail.com."
}
},
{
"@type": "Person",
"name": "Vrunda B Desai",
"url": "https://questionsmedicales.fr/author/Vrunda%20B%20Desai",
"affiliation": {
"@type": "Organization",
"name": "Departments of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT; Medical Affairs, CooperSurgical, Inc, Trumbull, CT."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "Hysteroscopic morcellation vs. curettage for removal of retained products of conception: a multicenter randomized controlled trial.",
"datePublished": "2023-08-30",
"url": "https://questionsmedicales.fr/article/37657600",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.fertnstert.2023.08.956"
}
},
{
"@type": "ScholarlyArticle",
"name": "Adverse outcomes related to morcellation in Total Laparoscopic Hysterectomy.",
"datePublished": "2024-01-30",
"url": "https://questionsmedicales.fr/article/38301502",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.ejogrb.2024.01.031"
}
},
{
"@type": "ScholarlyArticle",
"name": "Contained Power Morcellation in Laparoscopic Uterine Myoma Surgeries: A Brief Review.",
"datePublished": "2023-09-07",
"url": "https://questionsmedicales.fr/article/37761678",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.3390/healthcare11182481"
}
},
{
"@type": "ScholarlyArticle",
"name": "Risk Factors of Salvage Procedure for Refractory Morcellation During Holmium Laser Enucleation of the Prostate.",
"datePublished": "2023-09-30",
"url": "https://questionsmedicales.fr/article/37798887",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.5213/inj.2346076.038"
}
},
{
"@type": "ScholarlyArticle",
"name": "Dome-type extracorporeal manual morcellation during laparoscopic uterine surgery: Two years' experience in a teaching hospital.",
"datePublished": "2024-06-17",
"url": "https://questionsmedicales.fr/article/38890065",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.jfma.2024.06.009"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "Procédures de chirurgie opératoire",
"item": "https://questionsmedicales.fr/mesh/D013514"
},
{
"@type": "ListItem",
"position": 3,
"name": "Interventions chirurgicales mini-invasives",
"item": "https://questionsmedicales.fr/mesh/D019060"
},
{
"@type": "ListItem",
"position": 4,
"name": "Morcellation",
"item": "https://questionsmedicales.fr/mesh/D000069577"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Morcellation - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Morcellation",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2026-08-25",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Morcellation",
"description": "Comment diagnostiquer une nécessité de morcellation ?\nQuels examens précèdent une morcellation ?\nQuels signes cliniques nécessitent une morcellation ?\nLa morcellation est-elle toujours nécessaire ?\nQuels sont les critères d'évaluation pour la morcellation ?",
"url": "https://questionsmedicales.fr/mesh/D000069577#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Morcellation",
"description": "Quels symptômes indiquent une morcellation ?\nLa morcellation soulage-t-elle les symptômes ?\nQuels symptômes post-morcellation sont fréquents ?\nY a-t-il des symptômes d'alerte après morcellation ?\nLes symptômes varient-ils selon le type de morcellation ?",
"url": "https://questionsmedicales.fr/mesh/D000069577#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Morcellation",
"description": "Peut-on prévenir la nécessité de morcellation ?\nQuels facteurs de risque augmentent la morcellation ?\nDes examens réguliers aident-ils à prévenir la morcellation ?\nL'alimentation influence-t-elle le risque de morcellation ?\nLe mode de vie affecte-t-il le besoin de morcellation ?",
"url": "https://questionsmedicales.fr/mesh/D000069577#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Morcellation",
"description": "Quels traitements précèdent la morcellation ?\nLa morcellation est-elle un traitement curatif ?\nQuels types de morcellation existent ?\nLa morcellation nécessite-t-elle une anesthésie ?\nQuels soins post-opératoires sont nécessaires ?",
"url": "https://questionsmedicales.fr/mesh/D000069577#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Morcellation",
"description": "Quelles complications peuvent survenir après morcellation ?\nComment gérer les complications post-morcellation ?\nLes complications sont-elles fréquentes après morcellation ?\nQuels signes indiquent une complication après morcellation ?\nLa morcellation augmente-t-elle le risque de cancer ?",
"url": "https://questionsmedicales.fr/mesh/D000069577#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Morcellation",
"description": "Quels sont les principaux facteurs de risque de morcellation ?\nLe surpoids influence-t-il le risque de morcellation ?\nLes hormones jouent-elles un rôle dans la morcellation ?\nL'âge est-il un facteur de risque pour la morcellation ?\nLes antécédents médicaux influencent-ils le risque ?",
"url": "https://questionsmedicales.fr/mesh/D000069577#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment diagnostiquer une nécessité de morcellation ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un diagnostic par imagerie et évaluation clinique peut indiquer la morcellation."
}
},
{
"@type": "Question",
"name": "Quels examens précèdent une morcellation ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des échographies, IRM ou CT-scan sont souvent réalisés avant la morcellation."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques nécessitent une morcellation ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des masses ou des fibromes utérins peuvent nécessiter une morcellation pour traitement."
}
},
{
"@type": "Question",
"name": "La morcellation est-elle toujours nécessaire ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, elle est réservée aux cas où le retrait complet est difficile sans cette technique."
}
},
{
"@type": "Question",
"name": "Quels sont les critères d'évaluation pour la morcellation ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les critères incluent la taille de la masse, l'emplacement et l'état général du patient."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une morcellation ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales, des saignements anormaux ou des masses palpables peuvent indiquer."
}
},
{
"@type": "Question",
"name": "La morcellation soulage-t-elle les symptômes ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut soulager les symptômes liés aux masses ou fibromes après intervention."
}
},
{
"@type": "Question",
"name": "Quels symptômes post-morcellation sont fréquents ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs légères et des saignements peuvent survenir après la morcellation."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes d'alerte après morcellation ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs intenses ou des saignements excessifs nécessitent une consultation immédiate."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon le type de morcellation ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier selon la technique utilisée et la zone opérée."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir la nécessité de morcellation ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une surveillance régulière des masses peut aider à prévenir des interventions chirurgicales."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque augmentent la morcellation ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de fibromes ou de maladies utérines augmentent le risque de morcellation."
}
},
{
"@type": "Question",
"name": "Des examens réguliers aident-ils à prévenir la morcellation ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens gynécologiques réguliers peuvent détecter des problèmes tôt."
}
},
{
"@type": "Question",
"name": "L'alimentation influence-t-elle le risque de morcellation ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée peut réduire certains risques de maladies nécessitant morcellation."
}
},
{
"@type": "Question",
"name": "Le mode de vie affecte-t-il le besoin de morcellation ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sain peut réduire le risque de développer des masses nécessitant morcellation."
}
},
{
"@type": "Question",
"name": "Quels traitements précèdent la morcellation ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements hormonaux ou médicamenteux peuvent être envisagés avant la morcellation."
}
},
{
"@type": "Question",
"name": "La morcellation est-elle un traitement curatif ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut être curative pour certaines masses, mais pas pour toutes les conditions."
}
},
{
"@type": "Question",
"name": "Quels types de morcellation existent ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il existe la morcellation laparoscopique et la morcellation ouverte, selon le cas."
}
},
{
"@type": "Question",
"name": "La morcellation nécessite-t-elle une anesthésie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle est généralement réalisée sous anesthésie générale ou régionale."
}
},
{
"@type": "Question",
"name": "Quels soins post-opératoires sont nécessaires ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des soins incluent le suivi des douleurs, des saignements et la gestion des complications."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir après morcellation ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications incluent des infections, des saignements ou des lésions organiques."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications post-morcellation ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion inclut des antibiotiques pour infections et des soins pour saignements."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes après morcellation ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares mais possibles, nécessitant un suivi médical."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication après morcellation ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs intenses, fièvre ou saignements excessifs sont des signes d'alerte."
}
},
{
"@type": "Question",
"name": "La morcellation augmente-t-elle le risque de cancer ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il existe des préoccupations sur le risque de dissémination de cellules cancéreuses."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque de morcellation ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents familiaux de fibromes et l'âge sont des facteurs de risque importants."
}
},
{
"@type": "Question",
"name": "Le surpoids influence-t-il le risque de morcellation ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le surpoids peut augmenter le risque de développer des fibromes nécessitant morcellation."
}
},
{
"@type": "Question",
"name": "Les hormones jouent-elles un rôle dans la morcellation ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les déséquilibres hormonaux peuvent contribuer à la formation de fibromes."
}
},
{
"@type": "Question",
"name": "L'âge est-il un facteur de risque pour la morcellation ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes de plus de 30 ans sont plus susceptibles de nécessiter une morcellation."
}
},
{
"@type": "Question",
"name": "Les antécédents médicaux influencent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents de maladies utérines augmentent le risque de morcellation."
}
}
]
}
]
}
Departments of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT; Cancer Outcomes Public Policy and Effectiveness Research Center, Yale School of Medicine, New Haven, CT. Electronic address: xiao.xu@yale.edu.
Department of Obstetrics and Gynaecology, Centre Hospitalier Universitaire de Québec, Université Laval, Québec, QC. Electronic address: sarah.maheux.lacroix@gmail.com.
Departments of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT; Medical Affairs, CooperSurgical, Inc, Trumbull, CT.
Internal Medicine, Yale School of Medicine, New Haven, CT; Cancer Outcomes Public Policy and Effectiveness Research Center, Yale School of Medicine, New Haven, CT.
Department of Obstetrics and Gynaecology, Faculty Hospital Kralovske Vinohrady and 3rd Medical Faculty, Charles University in Prague, Šrobárova 1150/50, Praha 10, 100 34, Prague, Czech Republic. mhalaska@seznam.cz.
To study the comparison between hysteroscopic morcellation (HM) of retained products of conception (RPOC) with ultrasound (US)-guided electric vacuum aspiration in terms of intrauterine adhesion (IUA)...
A randomized controlled, nonblinded trial....
Three teaching hospitals and one university hospital from April 2015 to June 2022....
A total of 133 women with RPOC on US, ranging from 1-4 cm, were randomized to receive either HM or electric vacuum aspiration....
Hysteroscopic morcellation was performed with the TruClear System (Medtronic, Minneapolis, MN, USA). Electric vacuum aspiration was performed using an 8- or 10-mm flexible plastic Karman cannula under...
In the HM group, an office diagnostic hysteroscopy was planned a minimum of 6 weeks after the end of pregnancy, followed by retained product of conception removal at least 8 weeks after the end of the...
Postoperative IUAs were seen in 14.3% (9/63) of patients in the HM group and 20.6% (13/64) of patients in the vacuum aspiration group (-6% [-19.1% to 7.1%]). Significantly more RPOC were removed compl...
In our randomized controlled trial, no significant differences were found in the occurrence of IUAs and complications. However, the RPOC were more often completely removed by HM than vacuum aspiration...
NTR4923 (https://trialsearch.who.int/Trial2.aspx?TrialID=NTR4923). Date of registration: November 23, 2014, date of initial participant enrollment: January 1, 2015....
This study aimed to comprehensively evaluate the complications associated with morcellation in Total Laparoscopic Hysterectomy (TLH) procedures, providing evidence-based insights to enhance patient sa...
A comprehensive literature search was conducted using multiple databases, including PubMed, EMBASE, Google Scholar, and Cochrane Central Register of Controlled Trials. The inclusion criteria were Stud...
Thirteen studies investigating complications associated with morcellation in TLH (Total Laparoscopic Hysterectomy) were included in this review.This review covers intraoperative blood loss, length of ...
The selected studies covered different approaches and aspects related to this procedure, providing valuable insights into the factors associated with complications and efficacy of the technique in var...
The findings of this review provide valuable insights into complications associated with morcellation in TLH. Clinicians could use this information to make informed decisions, implement safe protocols...
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, pelv...
We aimed to identify the risk factors for salvage procedure (SP) required for refractory adenomatous tissue resistant to morcellation during holmium laser enucleation of the prostate (HoLEP)....
Patients who underwent HoLEP between January 2010 and April 2020 at Seoul National University Hospital were analyzed. SPs were defined as cases of conversion to resection of the prostatic tissue using...
Among a total of 2,427 patients, 260 were identified as having SP (SP group) (transurethral resection-nodule [n = 250, 96.1%], secondary morcellation a few days after surgery [n = 9, 3.5%], and conver...
The risk of refractory morcellation increased in patients aged > 60 years or those with TZV > 32 mL. In order to more efficiently remove these resistant adenomas, it is necessary to develop more effic...
This study aims to describe the dome-type manual morcellation technique, a modified form of C-type incision, its comparative advantages over existing morcellation methods, the perioperative outcomes o...
This retrospective cohort study included women who underwent laparoscopic myomectomy or hysterectomy using dome-type morcellation for tissue extraction at a tertiary teaching hospital between May 2020...
A total of 41 women were enrolled. Among them, 20 procedures were performed by a surgeon alone, while the remaining 21 procedures were completed by trainees under the surgeon's supervision. The median...
Dome-type manual morcellation is an intuitive, efficient and safe method for specimen removal and is easy to learn for beginners....
Clinically and through auxiliary examinations, distinguishing uterine leiomyoma from early-stage uterine sarcoma presents significant challenges. A 48-year-old patient underwent a laparoscopic hystere...
This systematic review aims to comprehensively assess the safety and efficacy of transvaginal morcellation within an enclosed bag in gynecological surgeries, with a focus on its benefits, potential ri...
We conducted a comprehensive search of Epistemonikos, Web of Science, Medline (PubMed), Scopus, and Cochrane databases for studies on transvaginal contained morcellation in adult patients undergoing g...
Key findings from the selected studies indicate that transvaginal morcellation within an enclosed bag offers several advantages in gynecological surgeries, including reduced invasiveness, shorter oper...
Transvaginal morcellation within an enclosed bag demonstrates potential as a safe and effective option for gynecological surgeries. The technique offers the benefits of minimally invasive procedures, ...
In polypectomy with mechanical hysteroscopic morcellators, the tissue removal procedure continues until no polyp tissue remains. The decision that the polypoid tissues were removed completely is made ...
A total of 70 patients with a single pedunculate polypoid image of 1.5-2 cm, which was primarily visualized by office hysteroscopy, were included in the study. Patients who had undergone hysteroscopic...
In total, 7 patients in the morcellator group had residual polyp tissue detected in the full curettage material. The blood loss was lower in the morcellator group than in the resectoscope group (M, R;...
Even if the lesion is completely visibly removed during hysteroscopic morcellation, extra caution should be taken regarding the possibility of residual tissue. There is a need for new studies investig...
The aim of this research was to evaluate the efficiency of reciprocating morcellation for removing giant benign prostatic hyperplasia during holmium laser enucleation of the prostate, investigate whet...
This study included nine cases of holmium laser enucleation of the prostate with an enucleated prostate weight exceeding 200 g, indicative of substantial prostate enlargement. Morcellation was perform...
The mean estimated prostate volume was 383 (range 330-528) mL; the median enucleation weight was 252 (interquartile range [IQR] 222, 342) g; and the median enucleation time was 83 (IQR 62, 100) min. T...
The efficiency of two-stage morcellation with reciprocating morcellators was highly related to the postoperative interval, with the maximum efficiency reached on Day 7....
To compare contained and free manual vaginal morcellation of large uteruses after total laparoscopic hysterectomy (TLH) in women at low risk of uterine malignancy in terms of feasibility and safety....
A single-center, observational, retrospective, cohort study was carried out including all patients undergoing TLH requiring manual vaginal morcellation for specimen extraction of large uteruses from J...
In all, 271 patients were included: 186 (68.6%) in the contained morcellation group and 85 (31.4%) in the free morcellation group. The mean operative time was significantly lower in the contained morc...
Contained vaginal manual morcellation of the uterus after total laparoscopic hysterectomy using a specimen retrieval bag appears to be a safe procedure with significantly lower operative time than fre...