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Abdominal Approaches to Tissue Containment and Extraction in Minimally Invasive Gynecologic Surgery.

Abstract：

STUDY OBJECTIVE:To show different abdominal methods of tissue containment and specimen extraction techniques as an alternative to electromechanical morcellation (EMM). DESIGN:A stepwise surgical tutorial using a narrated video (Canadian Task Force classification III). SETTING:An academic tertiary care hospital. INTERVENTIONS:Minimally invasive gynecologic surgery requires the extraction of large tissue specimens through small incisions. EMM was largely used until recently when the Food and Drug Administration issued a statement on its safety. In this video, we present alternative techniques to EMM as well as different methods of tissue containment. Uteri specimens are contained using a 3M Steri-Drape isolation bag (3M Healthcare, Maplewood, MN) and, alternatively, the Alexis Containment Extraction System (Applied Medical, Rancho Santa Margarita, CA). The contained specimen is manually extracted through the 2.5-cm umbilical port incision using the paper roll technique described here. CONCLUSION:These techniques for tissue containment and extraction provide an alternative to EMM. They allow the minimally invasive surgeon to contain and retrieve large specimens. When used appropriately, these techniques can decrease conversion rates to open abdominal surgery. They are easily reproducible with a minimal learning curve.

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Moawad GN,Samuel D,Abi Khalil ED

doi

10.1016/j.jmig.2016.05.014

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

1032

issue

7

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(16)30086-3

journal_volume

23

pub_type

杂志文章

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