Vaginal power morcellation using a contained bag system: a novel surgical technique.

Abstract

Background: To decrease the risk of unsuspected malignancies disseminating, several studies have shown the safety of using a containment bag to limit tissue dissemination during manual or power morcellation. Furthermore, in 2020, the FDA recommended performing laparoscopic power morcellation for myomectomy or hysterectomy only within a tissue containment system.

Objective: To show step-by-step a new surgical technique using vaginal power morcellation within an endoscopic pouch without adding or extending other incisions.

Materials and methods: Video article describing vaginal power morcellation.

Results: To perform power morcellation through vaginal introit, additional operative time was only 13 minutes.

Conclusions: Vaginal power morcellation using a contained bag system is technically feasible and efficient. Furthermore, it may prevent intraperitoneal dissemination of tissue fragments whilst minimising the need for additional surgical incisions.