title: Power morcellation inside a secure endobag: a pilot study.
abstract: BACKGROUND
  Unprotected power morcellation can lead to a spread of previously undiagnosed malignancy. We present a new containment bag with two closable trocar insertion sites to reduce this risk. This pilot study was designed to assess the feasibility of this device under everyday conditions.
  
  
  METHODS
  The containment bag was used in ten laparoscopic supracervical hysterectomies. We evaluated time requirement for bag insertion into the abdominal cavity and in-bag morcellation. A 2000 ml polyurethane morcellation bag was used for all interventions. All surgeries were carried out in a three-trocar setting.
  
  
  RESULTS
  We carried out ten supracervical hysterectomies. No intraoperative complications and no bag ruptures occurred. The meantime requirement to insert the bag and prepare the specimen for morcellation was 10.5 min (range, 7-19 min). The mean specimen weight was 191.9 g (range, 32-710 g). Mean morcellation time was 10.5 min (range, 3-28 min), mean weight of remaining tissue and fluid in the bag after morcellation was 12.1 g (range, 7-19 g).
  
  
  CONCLUSIONS
  The presented data demonstrate that the endobag can be successfully applied in the clinical routine. Further studies are required to evaluate additional characteristics, such as individual learning curve and time requirements.
authors.affiliation: a Department of Obstetrics and Gynecology , Community Hospital Dormagen , Dormagen , Germany ;
authors.forename: Michael
authors.initials: M
authors.lastname: Anapolski
authors.affiliation: a Department of Obstetrics and Gynecology , Community Hospital Dormagen , Dormagen , Germany ;
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Panayotopoulos
authors.affiliation: b Department of Obstetrics and Gynecology , University Hospitals Schleswig-Holstein , Campus Kiel , Kiel , Germany ;
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Alkatout
authors.affiliation: c Department of Anesthesiology , Community Hospital Dormagen , Germany ;
authors.forename: Stefan
authors.initials: S
authors.lastname: Soltesz
authors.affiliation: b Department of Obstetrics and Gynecology , University Hospitals Schleswig-Holstein , Campus Kiel , Kiel , Germany ;
authors.forename: Lieselotte
authors.initials: L
authors.lastname: Mettler
authors.affiliation: d Department of Obstetrics and Gynecology , University Witten/Herdecke , Witten , Germany ;
authors.forename: Sven
authors.initials: S
authors.lastname: Schiermeier
authors.affiliation: d Department of Obstetrics and Gynecology , University Witten/Herdecke , Witten , Germany ;
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hatzmann
authors.affiliation: e Department of Obstetrics and Gynecology , University of Witten/Herdecke, Community Hospital Dormagen , Dormagen , Germany.
authors.forename: Günter
authors.initials: G
authors.lastname: Noé
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation*; D008875:Middle Aged; D000069577:Morcellation / Q000295:instrumentation*; D010865:Pilot Projects; D014599:Uterus / Q000473:pathology*
keywords: Morcellation; improving power-morcellation; in-bag morcellation; myoma; subtotal hysterectomy