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Evaluating the Risks of Electric Uterine Morcellation

Kimberly A. Kho, MD, MPH1; Ceana H. Nezhat, MD2
[+] Author Affiliations
1Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas
2Atlanta Center for Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia
JAMA. 2014;311(9):905-906. doi:10.1001/jama.2014.1093.
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Gynecologic surgeons, like many other surgical specialists, have embraced laparoscopic surgical techniques because they offer quicker recovery, less postoperative pain, and fewer wound complications than open procedures. The removal of large pieces of tissue through the small incisions of laparoscopy is difficult. However, this problem can be overcome by tissue morcellation, a technique of fragmenting tissue into smaller pieces that often prevents the need to enlarge established incisions. Surgeons have long used manual morcellation with a scalpel or scissors to remove masses abdominally and vaginally, but use of the technique has increased with wide adoption of laparoscopic approaches and with the introduction of laparoscopic electric morcellators in 1993.

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