Does Contained Manual Morcellation in Minimally Invasive Hysterectomy Prevent Myometrial Cell Spillage? Evidence From Sequential Pelvic Washings.
Sequential pelvic washings demonstrate that contained manual morcellation is associated with a low rate of myometrial cell spillage, with most spillage occurring before morcellation begins. These findings support the safety and effectiveness of containment systems and highlight that tissue dissemination risk may originate from the hysterectomy itself rather than morcellation alone.
Authors
- Carolina Segura (ORCID: https://orcid.org/0009-0000-0222-1016)
- Jerome L. Yaklic (ORCID: https://orcid.org/0000-0003-3336-9296)
- Cecilia Clement (ORCID: https://orcid.org/0000-0002-4423-0313)
- Karren Lewis
- Truong Nguyen
- Gokhan S. Kilic
- Mostafa F. Eyada
- Natalie Schoellkopf
Institutions
- Washington University in St. Louis (US)
- The University of Texas Medical Branch at Galveston (US)
- Salisbury University (US)
Publication Details
- Journal
- American Journal of Obstetrics and Gynecology
- Published
- 2026-03-01
- DOI
- https://doi.org/10.1016/j.ajog.2026.03.018
- Primary Topic
- Uterine Myomas and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00