Comparison of manual vaginal morcellation with laparoscopic power morcellation in specimen retrieval during laparoscopic myomectomy


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Article type :

Original Article

Author :

Muralikrishnan Nambiar*, Anupama Suresh Y, Jithin Surendran, Athulya Sreenivas, Shreevidya Bhat

Volume :

12

Issue :

1

Abstract :

Background: Most popular specimen retrieval techniques in laparoscopic myomectomy are manual vaginal morcellation and power morcellation. We this was a prospective study from October 2018 - Sep 2022. A total of 150 patients underwent laparoscopic myomectomy. Materials and Methods: This prospective study was conducted from October 2018 to September 2022 and included 150 patients who underwent laparoscopic myomectomy. Result: Specimen extraction time was about 9.744 ±1.076 minutes in the vaginal morcellation group and 77.366 ±324.067 minutes in power morcellation group (p value 0.062). Cost of surgery in US dollars was 954.550± 2.272 USD in vaginal morcellation group and 1266.329± 215.246 USD in power morcellation group (p value < 0> Conclusion: From our findings we conclude that Manual vaginal morcellartion is a much quicker, inexpensive and less painful alternative to power moecellation to extract specimens after laparoscoic myometomy. Manual vaginal morcellation also has less wound related complications with quicker post operative discharge readiness.  

Keyword :

Erector spinae block, Regional, Analgesia.