Safe Morcellation Research Articles

Tips and Tricks for Safe Morcellation with the Lumenis VERSACUT

Abstract Introduction: Holmium laser enucleation of the prostate (HoLEP) is an effective treatment option for bladder outflow obstruction secondary to prostatic enlargement. However, concerns about bladder mucosal injuries secondary to morcellation of the prostatic adenoma after enucleation slow the learning curve and prevent some urologists from learning the procedure. We reviewed 13 years of experience in a single center and suggest some tips and tricks to perform a safe and quick morcellation. Materials and Methods: A retrospective review of a prospective database of all HoLEP procedures performed by or under supervision of a single consultant urological surgeon was undertaken. Laser enucleation was performed using the Lumenis Pulse™ 120 Holmium laser and morcellation with the Lumenis VERSACUT™ tissue morcellator system. Data were recorded for morcellation time, retrieval time, and specimen weight and all case notes were reviewed for morcellation injury. Results: Between December 2003 and March 2017, 1...

Embryonic–Natural Orifice Transumbilical Endoscopic Surgery for Myomectomy with Traction of Multidirectional Sutures: A New Surgical Approach

Embryonic-natural orifice transumbilical endoscopic surgery is currently used for adnexectomy or hysterectomy. Embryonic-natural orifice transumbilical endoscopic surgery for myomectomy with traction of two directional sutures in a 32-year-old woman enabled the minimal surgical approach for myomectomy and efficient and safe morcellation and retrieving of myoma. This novel surgical approach could be used as part of minimal surgery in the surgical management of myoma.

Novel Technique of Renal Entrapment for Morcellation

Renal entrapment for morcellation can be a difficult task, often necessitating additional port placement and awkward maneuvering as well as concern with specimen sack breakage. We describe a novel technique that combines the best features of existing technology to allow easy entrapment and safe morcellation. We combined a 15 mm. EndoCatch II (United States Surgical Corp., Norwalk, Connecticut) introducer and frame with an 8 x 10-inch LapSac (Cook Urological, Spencer, Indiana) to facilitate entrapment with a strong reliable specimen sack. The LapSac is sutured in place onto the frame of the EndoCatch device with 3-zero sutures. The device is then rearmed and lubricated prior to introduction. The described modification greatly enhances our ability more rapidly and easily to entrap nephrectomy specimens prior to tissue morcellation. No additional ports are needed and no morbidity has resulted from the use of the modified entrapment device. Introduction and deployment of the modified entrapment device is straightforward and easily reproducible. We recommend this easy and secure technique when tissue morcellation is being considered.