Abstract
Video Objective To explain and demonstrate: 1. Laparoscopic port placement, 2. Step by step technique for the two-port contained power morcellation in a specialized bag (Morcellation Containment System by Espiner Medical), 3. Tips and tricks on each step of contained morcellation Setting Risks of electromechanical morcellation are spreading undiagnosed cancer, diffuse leiomyomatosis, and visceral injury. Food and Drug Administration (FDA) safety communication discouraged use of power morcellators for leiomyoma extraction after the case of disseminated leiomyosarcoma following a laparoscopic hysterectomy. Since FDA warning, laparoscopic contained (in bag) morcellation became popular. However, it can be challenging. Interventions A 27 years old, G0P0, woman was presented with heavy periods and pelvic pain. Her medical and surgical history was unremarkable. Ultrasound showed and anterior/broad ligament fibroid with size of 7.6 × 5.2 × 5.5 cm. After discussing the treatment option, she was consented and had laparoscopic myomectomy and two-port contained morcellation in a specialized bag. Post-operative care was uneventful. Patient was discharged home same day. Histopathology showed benign fibroid. Conclusion The Morcellation Containment System is a feasible tool to extract a pelvic mass. However, it is important to be aware of its challenges like any other contained morcellation system.
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