The Journal of Minimally Invasive Gynecology
Volume 17, Issue 3 , Pages 374-378 , May 2010

Novel Vaginal “Paper Roll” Uterine Morcellation Technique for Removal of Large (>500 g) Uterus

  • Wu Shun Felix Wong, MBBS, MMed, MD, FRCOG, FRANZCOG, FHKCOG, FHKAM

      Affiliations

    • Faculty of Medicine, University of New South Wales, Sydney Australia
    • ,
  • Tat Choi Eric Lee, MBBS, MRCOG, FRCOG, FHKAM, FHKCOG

      Affiliations

    • Canosa Hospital, Hong Kong, China
    • ,
  • Chi Eung Danforn Lim, MBBS, BSc, BHltSc, MMed, MAppMgt, MAppSc

      Affiliations

    • Faculty of Medicine, University of New South Wales, Sydney Australia
    • Corresponding Author InformationCorresponding author: Chi Eung Danforn Lim, MD, University of New South Wales, South Western Sydney Clinical School, Liverpool Hospital, Elizabeth St., Liverpool, New South Wales 2170, Australia.

Received 20 September 2009 ,Accepted 3 February 2010.

References 

  1. Pelosi MA, Pelosi MA. Vaginal surgery for the laparosocist: laparoscopic-vaginal uterine morcellation techniques. Third International Gynecologic Endoscopic Film Festival and Instrument Exhibition. Phoenix: Arizona; 1996;
  2. Lin Y-S. New helical incision for removal of large uteri during laparoscopic-assisted vaginal hysterectomy. J Am Assoc Gynecol Laparosc. 2004;11:519–524
  3. Fanning J, Fenton B, Switzer M, Johnson J, Clemons J. Laparoscopic assisted vaginal hysterectomy for uteri weighing 1000 grams or more. J Soc Laparoendosc Surg. 2008;12:376–379
  4. Chang WC, Huang SC, Sheu BC, et al. LAVH for large uteri by various strategies. Acta Obstet Gynecol Scand. 2008;87:558–563
  5. Wang C, Yen C, Lee C, Tashi T, Soong Y. Laparoscopically assisted vaginal hysterectomy for large uterus: a comparative study. Eur J Obstet Gynecol Reprod Biol. 2004;115:219–223
  6. Clayton RD, Hawe JA, Garry R. Laparoscopically assisted hysterectomy for the large uterus. Gynaecol Endosc. 1999;8:219–223
  7. Harris WJ. Complications of hysterectomy. Clin Obstet Gynecol. 1997;40:928–938
  8. Chen SY, Chang DY, Sheu BC, Torng PL, Huang SC, Hsu WC. Laparoscopic-assisted vaginal hysterectomy with in situ morcellation for large uteri. J Minim Invasive Gynecol. 2008;15:559–565
  9. Choi JS, Jyung YS, Kim HK, Lee KW, Han JS. The four trocar method for performing laparoscopically assisted vaginal hysterectomy on large uteri. J Minim Invasive Gynecol. 2006;13:276–280
  10. Kovac SR. Intramyometrial coring as an adjunct to vaginal hysterectomy. Obstet Gynecol. 1986;67:131–136
  11. Hutchins FL, Reinoehl EM. Retained myoma after laparoscopic supracervical hysterectomy with morcellation. J Am Assoc Gynecol Laparosc. 1998;5:293–295
  12. LaCoursiere D, Kennedy J, Hoffman C. Retained fragments after total laparoscopic hysterectomy. J Minim Invasive Gynecol. 2005;12:67–69

 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S1553-4650(10)00081-6

doi: 10.1016/j.jmig.2010.02.005

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 3 , Pages 374-378 , May 2010

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