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Comment & Response |

Electric Uterine Morcellation—Reply

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;312(1):96-97. doi:10.1001/jama.2014.6172.
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In Reply In our Viewpoint, we highlighted the following issues: (1) bringing attention to the risks associated with intracorporeal morcellation, (2) using alternatives to unprotected or unenclosed intracorporeal morcellation, (3) developing safer techniques and instruments, and (4) encouraging improvements in surgical procedure and device monitoring.

We reiterate our concern that appropriate and safe use of medical technology is paramount, yet we must disagree with Dr Melamed’s suggestion that the current understanding and instrumentation will suffice. Much work remains to be done to address concerns regarding intracorporeal morcellation, including quantifying the risks of both benign and occult malignant tissue dissemination, as well as risks of iatrogenic tissue injury. Increased scrutiny on the topic stresses the importance of discussing these issues, which have been a concern for the past several years.1,2


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July 2, 2014
Alexander Melamed, MD, MPH
1Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
JAMA. 2014;312(1):96. doi:10.1001/jama.2014.6169.
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