Abstract
Emphasis on a minimally invasive approach to hysterectomy has led to the development of morcellation techniques to remove large uteri through small incisions. Morcellation is associated with adverse events including dissemination of benign leiomyoma, endometriosis or, inadvertent spread of malignancy. This study demonstrates that intact removal of a uterine specimen from a small minilaparotomy incision at the end of robotic assisted hysterectomy maintains the benefits of minimally invasive surgery while avoiding morcellation.
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