Contained Power Morcellation or Transvaginal Extraction after laparoscopic myomectomy?

30 July 2018

A recent study published by Boza et al. on Surgical Innovation compared clinical and operative outcomes of transvaginal extraction (TVE) and contained power morcellation (CPM) for myoma retrieval after laparoscopic myomectomy.

Prospective data from 35 consecutive cases using CPM were compared with retrospective data of all cases using TVE from December 2014 to January 2017. Patients were matched 1:1 based on myoma diameter.

Retrieval time was significantly shorter in the TVE group (mean 10 minutes) compared with the CPM group (mean 17 minutes). Time required for placement of the instruments was 9.7 minutes for the isolation bag and 0.5 minutes for the vaginal extractor. Additional analgesic administration for pain relief was necessary in 13 patients (42%) in the TVE group and 23 patients (72%) in the CPM group. Total cost of the hospital stay was significantly higher in the CPM group compared with the TVE group.

This study suggests that TVE was associated with a shorter retrieval time, less postoperative pain, and less hospital costs, respect to CMP, for surgical specimen retrieval after laparoscopic myomectomy.

Read the abstract of the study.

Author: Antonio Simone Laganà, Scientific Director ISE