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In-bag power morcellation technique in single-port laparoscopic myomectomy

 Young Bin Won  ;  Hyun Jin Lee  ;  Kyung Jin Eoh  ;  Young Shin Chung  ;  Yong Jae Lee  ;  Seon Hee Park  ;  Jee Whan Kim  ;  Jung Yoon Lee  ;  Eun Ji Nam  ;  Sunghoon Kim  ;  Young Tae Kim  ;  Sang Wun Kim 
 Obstetrics & Gynecology Science, Vol.61(2) : 267-273, 2018 
Journal Title
 Obstetrics & Gynecology Science 
Issue Date
Laparoscopy ; Minimally invasive surgical procedures ; Morcellation ; Myomectomy
Objective: This study introduces and evaluates the feasibility, safety, and surgical outcomes of the in-bag power morcellation technique during single-port assisted (SPA) laparoscopic myomectomy in comparison with manual scalpel morcellation. Methods: This is a retrospective review of a total of 58 patients who underwent SPA laparoscopic myomectomy employing in-bag power morcellation (n=27) or manual scalpel morcellation (n=31), performed between December 2014 and December 2016. Surgical outcomes, including total operation time, estimated blood loss, postoperative hemoglobin changes, postoperative hospital stay, postoperative pain (visual analog scale), perioperative and postoperative complications were evaluated. Results: The demographics and patient characteristics were similar between both groups. The median patient age was 34 years and median body mass index was 20.84 kg/m2. The median specimen weight was 110 g. The median operating time was 138 minutes. The median estimated blood loss was 50 mL and the median postoperative hemoglobin change was 2.2 g/dL. The median postoperative hospital stay was 2 days and the median postoperative pain scores were 5 after 6 hours, 3 after 24 hours, and 2 after 48 hours. Occult malignancy was not identified in any patients. There were no intraoperative complications such as LapBag ruptures or gross spillage. Conclusion: In-bag power morcellation for SPA laparoscopic myomectomy is feasible and safe, minimizing the risks of open power morcellation. There were also no statistically significant differences in surgical outcomes.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실)
Yonsei Authors
김상운(Kim, Sang Wun) ORCID logo https://orcid.org/0000-0002-8342-8701
김성훈(Kim, Sung Hoon) ORCID logo https://orcid.org/0000-0002-1645-7473
김영태(Kim, Young Tae) ORCID logo https://orcid.org/0000-0002-7347-1052
김지환(Kim, Jee Whan)
남은지(Nam, Eun Ji)
박선희(Park, Seon Hee)
어경진(Eoh, Kyung Jin) ORCID logo https://orcid.org/0000-0002-1684-2267
원영빈(Won, Young Bin) ORCID logo https://orcid.org/0000-0002-7345-7090
이용재(Lee, Yong Jae) ORCID logo https://orcid.org/0000-0003-0297-3116
이정윤(Lee, Jung-Yun)
정영신(Chung, Young Shin)
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