Minimally Invasive Surgical Techniques for Tissue Extraction

Study Objective: Morcellation is a technique to remove large specimens by means of small incisions and is commonly used in gynecologic procedures [1]. In this video, we demonstrate contained manual morcellation techniques in benign gynecologic surgeries. Design: Stepwise demonstration of 4 techniques with narrated video footage. Setting: Tertiary academic teaching hospital. Interventions: This video showcases 4 contained manual morcellation techniques: abdominal extraction through an umbilical mini-laparotomy incision, abdominal extraction through a suprapubic mini-laparotomy incision, transvaginal extraction through the colpotomy, and transvaginal extraction through the posterior cul-de-sac with the uterus in place. A particular strategy should be selected on the basis of appropriate patient characteristics and surgical factors [2]. Conclusion: Minimizing risk during tissue extraction is critical to minimally invasive procedures. The morcellation techniques displayed in this video allow for tissue extraction through small incisions while reducing the risk of spreading an undiagnosed malignancy. Published by Elsevier Inc. on behalf of AAGL.

Automated summary

The video demonstrates contained manual morcellation techniques in benign gynecologic surgeries, allowing tissue extraction through small incisions while reducing the risk of spreading malignancy.