Comparison between transumbilical and transvaginal morcellation of a large uterus during single-port-access total laparoscopic hysterectomy

Seung Ju Oh, Seo Young Lee, Woo Yong Kim, Jieun Kang, Kyoung-Hee Han, San-Hui Lee, San Hui Lee, Ji Sun Park
Obstetrics & gynecology science · 2020 · vol. 63(3) , pp. 379–386 · doi:10.5468/ogs.2020.63.3.379 · PMID:32489984 · PMC7231941 · W3025149879
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Abstract

OBJECTIVE: To compare the perioperative outcomes of transumbilical morcellation (TUM) and transvaginal morcellation (TVM) of a large uterus (≥500 g) during single-port-access total laparoscopic hysterectomy (SPA-TLH). METHODS: A total of 57 patients who underwent SPA-TLH for a large uterine myoma and/or adenomyosis (uterine weight ≥500 g) between March 2013 and July 2017 were included. For specimen retrieval, TUM was performed for 30 patients and TVM for 27 patients. RESULTS: =0.042). CONCLUSION: TUM during SPA-TLH is a feasible technique for extracting large uteri weighing ≥500 g. This procedure is suitable for patients without a history of vaginal delivery or a narrow vaginal cavity.

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adenomyosis

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