The Impact of Contained Versus Uncontained Morcellation Following Laparoscopic Myomectomy on Operation Time, Pain Perception and Bleeding

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Obstetrics and Gynaecology Research Pub Date : 2026-08-23 DOI:10.1111/jog.70471

Ann-Sophie Jensen, Martin Rudnicki

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引用次数: 0

Abstract

Title

The impact of contained power versus uncontained manual morcellation following laparoscopic myomectomy on operation time, pain perception, and bleeding.

Purpose

Knowledge of contained power morcellation in relation to operation time, bleeding, and in-hospital-stay is sparse. Our study aimed to investigate how contained power versus uncontained manual morcellation following laparoscopic myomectomy influenced operation time and bleeding.

Methods

Women undergoing laparoscopic myomectomy at Odense University Hospital between September 2019 and September 2024 were included. Inclusion criteria were women ≥ 18 years undergoing a laparoscopic myomectomy. The size of the myomas, number of myomas, and demographics did not affect patient eligibility. Exclusion criteria were robot-assisted or open myomectomy, and malignancy.

Results

In total, 116 women met inclusion criteria and underwent laparoscopic myomectomy. Of these, 74 (63.8%) underwent contained power morcellation and 42 (36.2%) uncontained manual morcellation. The operation time was 118.0 min (±54.07) in the contained group and 114.5 min (±32.53) in the uncontained manual group (p = 0.704). Perioperative bleeding was significantly lower in the contained power group versus the uncontained manual group (224.5 mL [±358.6] vs. 521.1 mL [±497.2], p = 0.0005). The length of hospitalization did not differ between contained power group and the uncontained manual group (0.57 days [±0.98] vs. 0.69 days [±0.68]; p = 0.473). One woman in the uncontained manual group had an intraabdominal abscess, and two women had intraabdominal bleeding, one in the uncontained manual group and one in the contained power group.

Conclusion

Our study demonstrated that contained power morcellation following myomectomy did not increase the operation time. The contained power morcellation was associated with lower perioperative bleeding; however, this finding should be interpreted cautiously because of the retrospective study design and potential residual confounding.

查看原文本刊更多论文

腹腔镜子宫肌瘤切除术后包含与不包含碎裂对手术时间、疼痛感觉和出血的影响。

题目：腹腔镜子宫肌瘤切除术后，有动力与无动力的手工碎块对手术时间、疼痛感觉和出血的影响。目的：关于包涵力碎裂与手术时间、出血和住院时间的关系的知识很少。我们的研究旨在探讨腹腔镜子宫肌瘤切除术后，有节制的力量与无节制的手工碎裂对手术时间和出血的影响。方法：纳入2019年9月至2024年9月在欧登塞大学医院行腹腔镜子宫肌瘤切除术的女性。纳入标准为≥18岁接受腹腔镜子宫肌瘤切除术的女性。肌瘤的大小，肌瘤的数量和人口统计学对患者的资格没有影响。排除标准为机器人辅助或开放式子宫肌瘤切除术，以及恶性肿瘤。结果：总共有116名妇女符合纳入标准并接受了腹腔镜子宫肌瘤切除术。其中74例（63.8%）采用密闭动力粉碎法，42例（36.2%）采用非密闭人工粉碎法。手术时间包含组为118.0 min（±54.07），未包含手动组为114.5 min（±32.53）（p = 0.704）。有动力组围手术期出血明显低于无动力组（224.5 mL[±358.6]比521.1 mL[±497.2],p = 0.0005）。住院时间在包含动力组和不包含体力组之间没有差异（0.57天[±0.98]比0.69天[±0.68];p = 0.473）。一名妇女在未包含的手工组有腹内脓肿，两名妇女有腹内出血，一名在未包含的手工组，一名在包含的动力组。结论：我们的研究表明子宫肌瘤切除术后的包膜粉碎不会增加手术时间。含粉状碎块与围手术期低出血相关；然而，由于回顾性研究设计和潜在的残留混淆，这一发现应谨慎解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Obstetrics and Gynaecology Research 医学-妇产科学

CiteScore

3.10

自引率

0.00%

发文量

376

审稿时长

3-6 weeks

期刊介绍： The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.