Table 7 Options to prevent direct morcellation injuries
Options | Grade |
|---|---|
For safe entry, enlarge the skin and fascia incision to the diameter of the morcellator to reduce the abdominal wall resistance | Good practice point |
Make sure that the morcellator’s blade remain locked inside the protecting tube during the morcellator insertion into the abdomen | Good practice point |
Keep the tip of the morcellator shaft in midline of the lower abdomen while introducing the device into the abdominal cavity and during morcellation | Good practice point |
Morcellate only under continuous vision by applying the lateral pealing technique. Prevent penetrating the mass and losing the tip out of sight | Good practice point |
Morcellation close to the intestine or to blood vessels increase risk of injury to these structures | Good practice point |