Macciò A, Sanna E, Lavra F, Calò P, Madeddu C. Novel technique of extracorporeal intrauterine morcellation after total laparoscopic hysterectomy: Three emblematic case reports. World J Clin Cases 2021; 9(20): 5655-5660 [PMID: 34307621 DOI: 10.12998/wjcc.v9.i20.5655]
Corresponding Author of This Article
Antonio Macciò, MD, Chief Doctor, Department of Gynecologic Oncology, Businco Hospital, ARNAS G. Brotzu, Via Jenner, Cagliari 09100, Italy. clelia.madeddu@tiscali.it
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2021; 9(20): 5655-5660 Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5655
Novel technique of extracorporeal intrauterine morcellation after total laparoscopic hysterectomy: Three emblematic case reports
Antonio Macciò, Elisabetta Sanna, Fabrizio Lavra, Piergiorgio Calò, Clelia Madeddu
Antonio Macciò, Elisabetta Sanna, Fabrizio Lavra, Department of Gynecologic Oncology, Businco Hospital, ARNAS G. Brotzu, Cagliari 09100, Italy
Piergiorgio Calò, Department of Surgical Sciences, University of Cagliari, Cagliari 09100, Italy
Clelia Madeddu, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari 09100, Italy
Author contributions: Macciò A was responsible for manuscript intellectual content; Macciò A and Madeddu C contributed to manuscript drafting, data analysis, interpretation, reviewed the literature and were responsible for the revision of the manuscript; Macciò A, Sanna E and Lavra F were the gynecological surgeons, performed the data analysis and interpretation and contributed to manuscript drafting; Calò PG contributed to manuscript drafting, data interpretation, review of the literature, manuscript revision; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed consent was obtained from all subjects involved in the study.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Antonio Macciò, MD, Chief Doctor, Department of Gynecologic Oncology, Businco Hospital, ARNAS G. Brotzu, Via Jenner, Cagliari 09100, Italy. clelia.madeddu@tiscali.it
Received: February 28, 2021 Peer-review started: February 28, 2021 First decision: April 29, 2021 Revised: May 10, 2021 Accepted: May 24, 2021 Article in press: May 24, 2021 Published online: July 16, 2021 Processing time: 128 Days and 12.7 Hours
Core Tip
Core Tip: In presence of large uteri, to preserve minimally invasive surgery morcellation is required to allow removal of the specimens from the abdominal cavity. However, uncontained morcellation has been banned because of the possible spread of occult leiomyosarcoma. Therefore, a variety of tissue containment systems have been developed; in particular, in case of very large specimen the practice of in-bag extracorporeal morcellation has been tested. Herein, we describe a novel technique for extracorporeal intrauterine morcellation using the uterus outermost layer as a bag to achieve tissue extraction of very large uteri after total laparoscopic hysterectomy. Such technique showed to be feasible and safe; it may be adopted in surgical practice, as an additional alternative to the currently available techniques of contained morcellation.
