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- W2260752308 abstract "STUDYTo determine the safety of manual vaginal morcellation by evaluating the rates of incidental uterine malignancy and manual vaginal morcellation after vaginal or laparoscopic-assisted vaginal hysterectomy.Retrospective analysis (Canadian Task Force classification II-2).University of Texas Southwestern Medical Center, Dallas, TX.Women (n = 1,629) undergoing vaginal or laparoscopic-assisted vaginal hysterectomy.Vaginal hysterectomy (n = 1,091) or laparoscopic-assisted vaginal hysterectomy (n = 538) with and without scalpel morcellation.The number of uterine malignancies, rate of vaginal morcellation, surgical indications, pathology diagnoses, and uterine weights were evaluated. Chi-square analysis was used to compare categoric data, and analysis of variance was used to compare uterine weights. There were no cases of leiomyosarcomas. There were 2 other sarcomas, 4 smooth muscle tumors of uncertain malignant potential, and 8 endometrial adenocarcinomas. The vaginal morcellation rate was 19.4%, but no malignancy was morcellated. Myomas were more common preoperatively and histologically in morcellated specimens. Mean (± standard deviation) uterine weights for morcellated versus nonmorcellated laparoscopic-assisted vaginal hysterectomy specimens were 285.5 ± 159.3 versus 140.1 ± 83.6 g (p < .001), respectively, and 199.9 ± 92.8 versus 111.9 ± 61.4 (p < .001), respectively, for vaginal hysterectomy.Vaginal manual morcellation is safe with a low risk of incidental malignancy. Variables that influence the decision for the vaginal approach may also affect malignancy risk and morcellation decisions. Thus, all patients undergoing vaginal or laparoscopic-assisted vaginal hysterectomy should be counseled regarding incidental malignancy, risk of morcellation, and alternatives for intact specimen removal." @default.
- W2260752308 created "2016-06-24" @default.
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- W2260752308 date "2016-05-01" @default.
- W2260752308 modified "2023-10-16" @default.
- W2260752308 title "Safety of Manual Morcellation After Vaginal or Laparoscopic-assisted Vaginal Hysterectomy" @default.
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- W2260752308 doi "https://doi.org/10.1016/j.jmig.2016.01.014" @default.
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