Intro: Contained Morcellation Using GelPOINT® Advance Access Platforms and 3M Steri-Drape™ Endobag скачать в хорошем качестве

Intro: Contained Morcellation Using GelPOINT® Advance Access Platforms and 3M Steri-Drape™ Endobag

Authors: Stephen Kujansuu, M.D., Bijan W. Salari, B.S., Michael Galloway, D.O., Austin Findley, M.D., Jerome L. Yaklic, M.D., Jason Massengill, M.D., Steven R. Lindheim, M.D. Abstract: Objective: Concerns have been raised against the use of laparoscopic power morcellation during laparoscopic hysterectomy and myomectomy because of unsuspected uterine sarcoma or leiomyosarcoma. We report a technique that safely allows power and hand morcellation for laparoscopic hysterectomy and myomectomy specimens in a contained fashion. Design: Video article introducing a method for enclosed tissue morcellation for laparoscopic specimens. Setting: Miami Valley Hospital from an Academic based practice Intervention: A technique using the GelPOINT Platform incision extender system and GelSeal Cap (GSP) Advanced Access Platform and a 50cm x 50 cm 3M Steri-Drape endobag for enclosed intracorporeal and extracorporeal tissue morcellation of laparoscopic specimens. Main Outcome Measures: For training purposes, we used a pelvic simulator and cadaver to describe the step-by-step process and trouble shoot issues to optimize intra and extracorporeal morcellation. This allowed for easier implementation to the live patient. Conclusions: The GSP and 3M Steri-Drape Endobag is an alternative for laparoscopic power or hand morcellation. Using simulation training helped transition this technique to the live patient, allowing for easy and safe removal of tissue specimens and minimizing the potential for tissue seeding and dissemination.