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As cases of disseminated uterine sarcoma associated with minimally invasive hysterectomy using power morcellation continue to generate concern and the FDA finalizes guidance regarding its use, high-volume gynecologic surgeons with specialized training in minimally invasive surgery have described a technique for power morcellation contained within an isolation bag. In this retrospective cohort study, 73 cases of hysterectomy and myomectomy were performed between January 2013 and April 2014 employing power morcellation under laparoscopic visualization within an insufflated a 50×50-cm clear plastic bag.
Inspection of the bag by the surgeon following specimen extraction revealed no visible perforations except, in cases involving multiport proced…