title: Contained morcellation using the GelPOINT advance access platforms and 3M Steri-Drape endobag.
abstract: OBJECTIVE
  To report a technique that safely allows power and hand morcellation for laparoscopic hysterectomy and myomectomy specimens in a contained fashion in the event of unsuspected uterine sarcoma or leiomyosarcoma.
  
  
  METHODS
  Video article introducing a method for enclosed tissue morcellation for laparoscopic specimens.
  
  
  METHODS
  Hospital of an academic-based practice.
  
  
  METHODS
  Two patients underwent laparoscopic hysterectomy: a 57-year-old G7 P5025 female for leiomyoma, anemia, and a history of CIN-3; and a 38-year-old G0P0 female with a 10-year history of pelvic pain and severe dysmenorrhea who failed medical therapy.
  
  
  METHODS
  A technique using the GelPOINT Platform incision extender system and GelSeal Cap (GSP) Advanced Access Platform and a 50 cm × 50 cm 3M Steri-Drape endobag for enclosed intracorporeal and extracorporeal tissue morcellation of laparoscopic specimens.
  
  
  METHODS
  For training purposes, we used a pelvic simulator and cadaver to describe the step-by-step process and troubleshoot issues to optimize intra- and extracorporeal morcellation. This allowed for easier implementation on the live patient.
  
  
  RESULTS
  Simulation training and the cadaver model provided a learning platform for contained internal power and external hand morcellation, accelerating the learning curve in its application to the live patient.
  
  
  CONCLUSIONS
  The GSP and 3M Steri-Drape endobag is an alternative for laparoscopic power or hand morcellation. Using simulation training helped transition this technique to the live patient, allowing for easy and safe removal of tissue specimens and minimizing the potential for tissue seeding and dissemination.
authors.affiliation: Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Ohio; Wright-Patterson USAF Medical Center, Wright-Patterson Air Force Base, Ohio.
authors.forename: Stephen
authors.initials: S
authors.lastname: Kujansuu
authors.affiliation: Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Ohio.
authors.forename: Bijan W
authors.initials: BW
authors.lastname: Salari
authors.affiliation: Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Ohio.
authors.forename: Michael
authors.initials: M
authors.lastname: Galloway
authors.affiliation: Wright-Patterson USAF Medical Center, Wright-Patterson Air Force Base, Ohio.
authors.forename: Austin
authors.initials: A
authors.lastname: Findley
authors.affiliation: Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Ohio.
authors.forename: Jerome L
authors.initials: JL
authors.lastname: Yaklic
authors.affiliation: Wright-Patterson USAF Medical Center, Wright-Patterson Air Force Base, Ohio.
authors.forename: Jason C
authors.initials: JC
authors.lastname: Massengill
authors.affiliation: Department of Obstetrics and Gynecology, Boonshoft School of Medicine, Wright State University, Ohio. Electronic address: steven.lindheim@wright.edu.
authors.forename: Steven R
authors.initials: SR
authors.lastname: Lindheim
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004867:Equipment Design; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation* / Q000379:methods; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D059032:Learning Curve; D007890:Leiomyosarcoma / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D012509:Sarcoma / Q000473:pathology / Q000601:surgery*; D063186:Uterine Myomectomy / Q000295:instrumentation* / Q000379:methods; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: Intracorporeal morcellation; extracorporeal morcellation; hysterectomy; laparoscopy; myomectomy