Ginecologia e Obstetrícia
Acesso livre

Abstrato

Safety of Using Electrical Morcellation and Strategies to Reduce Incidental Diagnosis of Uterine Sarcoma

Miranda VA, Pohlhammer DS, Vigueras S, Cuello MA

The use of power electric morcellation in gynecologic surgery may increase the risk of dissemination and recurrence as well as negatively impact on progression free survival in patients in which a sarcoma is incidentally diagnosed in the biopsy.

We reviewed our data regarding the use of electrical morcellation at our hospital, between May 2007 and May 2014. A total of 249 surgeries requiring morcellation were carried in that period. All cases underwent a peer-review discussion before assigning the surgical approach. No sarcoma was found in the biopsies; neither did any type of endometrial or uterine cervical cancer. Those cases suspicious of malignancy were discarded of using morcellation. In four of those cases, the final pathological report confirmed a uterine sarcoma.

Therefore, if patients are well selected based on a timely peer-review analysis, power electrical morcellation becomes a useful and safety tool for minimally invasive surgery.