title: Laparoscopic Hysterectomy for Uterine Fibroids: Is it Safe?
abstract: As more complex cases and larger uterine specimens are able to be managed with minimally invasive surgery, the limitations of tissue retrieval with these methods are of increasing concern. Risks of morcellator-related injury, tissue dissemination, or fragmentation must be weighed against increased morbidity of abdominal approach to hysterectomy. In an effort to mitigate the risks of tissue morcellation, containment system use must be considered when fragmenting a specimen, either with power morcellation or a manual technique via the vagina or minilaparotomy.
authors.affiliation: *Department of Obstetrics and Gynecology †Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
authors.forename: Emily M
authors.initials: EM
authors.lastname: Hinchcliff
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Cohen
mesh_terms: D001808:Blood Vessels / Q000293:injuries; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007422:Intestines / Q000293:injuries; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007890:Leiomyosarcoma / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D000069577:Morcellation / Q000009:adverse effects*; D009378:Neoplasms, Multiple Primary / Q000453:epidemiology / Q000601:surgery*; D012509:Sarcoma / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*