title: The Morcellation Debate: The History and the Science.
abstract: Intracorporeal electromechanical morcellation has been available for nearly 2 decades, and has allowed hundreds of thousands of women to undergo hysterectomy and myomectomy in a minimally invasive approach. Despite gains in postoperative pain, complications, quality of life, hospital stay, and return to work, it has recently come under attack. The risk of inadvertent morcellation of a uterine malignancy, and subsequent dissemination of occult cancer, must be balanced by the risks of increased numbers of laparotomies. Power morcellation should be available to appropriate surgical candidates.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, University of Utah, Salt Lake City, Utah.
authors.forename: Marisa R
authors.initials: MR
authors.lastname: Adelman
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D015994:Incidence; D007258:Informed Consent; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007890:Leiomyosarcoma / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D000069577:Morcellation / Q000009:adverse effects*; D009366:Neoplasm Seeding; D009367:Neoplasm Staging; D018579:Patient Selection; D018570:Risk Assessment; D012307:Risk Factors; D063186:Uterine Myomectomy / Q000379:methods; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*