Dome-type (Modified C-incision) Manual Morcellation During Laparoscopic Uterine Surgery
Study Details
Study Description
Brief Summary
In-bag manual morcellation is a safe alternative procedure after FDA's discouragement of electronic power morcellator. The traditional wedging (V-type incision) or semicircular coring (C-type incision or ExCITE) method are the most common morcellation techniques. For beginners, it is somehow not that easy to get familiar with these methods. No teaching or learning experiences were reported. Therefore, we developed a dome-type (modified C-incision) technique to manually morcellate uteri leiomyoma or uterus at the time of laparoscopic surgery and report perioperative outcomes and the learning experiences of our residents for this technique from our two years of experience.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Background: In-bag manual morcellation is a safe alternative procedure after FDA's discouragement of electronic power morcellator. The traditional wedging (V-type incision) or semicircular coring (C-type incision or ExCITE) method are the most common morcellation techniques. For beginners, it is somehow not that easy to get familiar with these methods. No teaching or learning experiences were reported.
Objective: To describe using a dome-type (modified C-incision) technique to manually morcellate uteri leiomyoma or uterus at the time of laparoscopic surgery and report perioperative outcomes and the learning experiences of our residents for this technique from our two years of experience.
Study Design: Retrospective review of consecutive laparoscopic myomectomies or hysterectomies performed between May 2020 and September 2022 in which the specimen was manually morcellated using the dome-type technique by surgeon or trainees.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Placebo Comparator: Surgeon group Dome-type morcellation performed by one skillful surgeon |
Procedure: Dome-type (Modified C-incision) manual morcellation
Morcellation performed by surgeon or trainee
|
| Active Comparator: Trainee group Dome-type morcellation performed by trainees (residents) under supervision |
Procedure: Dome-type (Modified C-incision) manual morcellation
Morcellation performed by surgeon or trainee
|
Outcome Measures
Primary Outcome Measures
- Morcellation speed [During procedure]
Weight of specimen (gram) divided by morcellation time (minute)
Secondary Outcome Measures
- Age [Before procedure]
Age
- BMI (kg/m2) [Before procedure]
BMI
- Abdominal surgical history [Before procedure]
Any abdominal surgical history, e.g., Cesarean section, myomectomy, appendectomy...
- Stiffness [During procedure]
Categorize to soft or hard
- Umbilical wound size (cm) [During procedure]
Umbilical wound size
- Pathology [1 week (after the pathologic report being released)]
Final pathologic result, e.g., leiomyoma, adenomyosis...
Eligibility Criteria
Criteria
Inclusion Criteria:
- Women at any age undergoing laparoscopic surgeries with dome-type morcellation
Exclusion Criteria:
- Women with extremely huge specimen (>2000 gm)
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | National Taiwan University Hospital | Taipei | Taiwan |
Sponsors and Collaborators
- National Taiwan University Hospital
Investigators
- Principal Investigator: Chi-Hau Chen, PhD, Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 202206083RINB