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Table 9 Statements on technical innovation

From: Options on fibroid morcellation: a literature review

Statements

Grade

Research on technical innovation in tissue retrieval from the abdominal cavity mainly focusses on in-bag (‘contained’) morcellation

D

In-bag morcellation may prevent morcellation complications such as direct morcellation injuries, parasitic fibroids and upstaging eventual malignancies

Good practice point

Potential reported risks of in-bag morcellation is spillage of tumour cells from the bag

C

In urology in-bag morcellation after laparoscopic removal of early stage and low grade renal cell carcinoma is reported to be safe and effective

C

Vaginal in-bag morcellation has also been described and needs further study

D

Development of bags is needed as well as registration of cases to further establish the potential value of on in-bag morcellation in gynaecologic surgery

Good practice point