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Medscape Newsletter devoted to Morcellation controversy
editThe latest Medscape newsletter is devoted to the controversy. Here are the items listed:
FDA Advisory Panel Supports Morcellation Restrictions
- From Medscape Ob/Gyn & Women's Health
News
- FDA Panel Grapples With 'Weak' Data on Morcellation Risk
- Uterine Cancer Rare in Hysterectomy With Morcellation, Study Shows Risk
Perspectives
- Harvard Surgeon Aims to Ban Morcellation
- AAGL Board Member Defends Morcellation
- Morcellation Has Role in Patient Care, Societies Say
There should be lots of MEDRS for use in these articles. This controversy needs to be documented. -- Brangifer (talk) 18:27, 27 July 2014 (UTC)
Morcellation vs. Morcellator controversy
editMorcellation is not a new procedure in medicine. In 1893 there was a report in BMJ about myomectomy by morcellement (transvaginally), in 1899 John Lentaigne reported about a large cartilaginous tumour of thigh removed by morcellement. New is the use of electromechanical or bipolar (Olympus) morcellators. But not the instruments are the problem but the cutting into a tumour that can be done in every way.
One of the most recent studies compared laparoscopic hysterectomy with morcellation and abdominal hysterectomy. Their conclusion: "The risk of leiomyosarcoma morcellation is balanced by procedure-related complications that are associated with laparotomy, including death." (Matthew T. Siedhoff, Stephanie B. Wheeler, Sarah E. Rutstein, Elizabeth J. Geller, Kemi M. Doll, Jennifer M. Wu, Daniel L. Clarke-Pearson: Laparoscopic hysterectomy with morcellation vs abdominal hysterectomy for presumed fibroid tumors in premenopausal women: a decision analysis. American Journal of Obstetrics & Gynecology , Volume 212 , Issue 5 , 591.e1 - 591.e8, doi:10.1016/j.ajog.2015.03.006)--Hic et nunc (talk) 10:21, 26 May 2015 (UTC)
article
editThis has some good info: