Transvaginal morcellation within an enclosed bag in gynecological surgeries: a comprehensive systematic review and analysis of safety, efficacy, and outcomes.

Autor: Alomari O; Hamidiye International Faculty of Medicine, University of Health Sciences, Istanbul, 34668, Türkiye., Mokresh ME; Hamidiye International Faculty of Medicine, University of Health Sciences, Istanbul, 34668, Türkiye. m.edib.mokresh@gmail.com., Muvaffak E; Hamidiye International Faculty of Medicine, University of Health Sciences, Istanbul, 34668, Türkiye., Bakir RN; Hamidiye International Faculty of Medicine, University of Health Sciences, Istanbul, 34668, Türkiye., Al Shomali R; Hamidiye International Faculty of Medicine, University of Health Sciences, Istanbul, 34668, Türkiye., Akis S; Faculty of Medicine, Department of Gynecologic Oncology, Marmara University, Pendik Training and Research Hospital, Istanbul, Türkiye., Acar S; Faculty of Medicine, Department of General Surgery, Tekirdağ Namık Kemal University, 59100, Terkirdağ, Türkiye., Api M; Department of Gynecologic Oncology, University of Health Sciences Turkey, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Türkiye.
Jazyk: angličtina
Zdroj: Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2024 Oct; Vol. 310 (4), pp. 1857-1876. Date of Electronic Publication: 2024 Aug 03.
DOI: 10.1007/s00404-024-07676-y
Abstrakt: Purpose: 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 risks, and recommendations for its use.
Methods: 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 gynecological surgeries. The review included 22 studies that met the inclusion criteria, encompassing diverse surgical procedures, patient profiles, and outcomes. These studies were thoroughly reviewed and analyzed to assess the safety and efficacy of the morcellation technique.
Results: Key findings from the selected studies indicate that transvaginal morcellation within an enclosed bag offers several advantages in gynecological surgeries, including reduced invasiveness, shorter operative times, and minimal blood loss when compared to conventional methods. The risk of tumor recurrence or dissemination appears to be low when appropriate precautions are taken, emphasizing the technique's safety, especially when performed by experienced surgical teams. While some studies reported complications, these were generally not directly associated with the morcellation technique.
Conclusion: 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, including reduced bleeding, shorter recovery times, and improved cosmetic outcomes. This review also highlights the need for standardization in study methodologies and reporting, as the heterogeneity in outcomes across the selected studies poses challenges in drawing definitive conclusions.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: