Avoiding Morcellation of Laparoscopic Hysterectomy Specimens with Preoperative Measurement of Uterine Volume

Abstract

Abstract Background: Hysterectomy is the second most common surgery among women, with ∼600,000 performed each year in the United States. Objective: The aim of this research was to identify preoperative factors associated with the ability to remove an intact uterine specimen transvaginally and avoid morcellation during laparoscopic hysterectomy. Materials and Methods: Patients were identified who underwent robotic-assisted total laparoscopic hysterectomy from January 9, 2008, to November 15, 2012. Charts were reviewed retrospectively for demographics. Preoperative uterine dimensions were used to calculate uterine volume. Subjects without preoperative uterine dimensions based on imaging were excluded. Demographics, indication for hysterectomy, need for uterine morcellation, histology, and actual uterine weight were noted. Statistical analysis was performed, using recursive partitioning and logistical regression analyses. Results: Four hundred and thirty-six patients were identified, with 136 excluded becaus...