Transvaginal morcellation within an enclosed bag in gynecological surgeries: a comprehensive systematic review and analysis of safety, efficacy, and outcomes

dc.contributor.authorAlomari, Omar
dc.contributor.authorMokresh, Muhammed Edib
dc.contributor.authorMuvaffak, Emir
dc.contributor.authorBakir, Rahime Nurbanu
dc.contributor.authorAl Shomali, Raghad
dc.contributor.authorAkis, Serkan
dc.contributor.authorAcar, Sami
dc.date.accessioned2024-10-29T17:43:25Z
dc.date.available2024-10-29T17:43:25Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractPurpose: This systematic review aims to comprehensively assess the safety and efficacy of transvaginal morcellation within an enclosed bag in gynecological surgeries, with a focus on its benefits, potential risks, and recommendations for its use. Methods: We conducted a comprehensive search of Epistemonikos, Web of Science, Medline (PubMed), Scopus, and Cochrane databases for studies on transvaginal contained morcellation in adult patients undergoing gynecological surgeries. The review included 22 studies that met the inclusion criteria, encompassing diverse surgical procedures, patient profiles, and outcomes. These studies were thoroughly reviewed and analyzed to assess the safety and efficacy of the morcellation technique. Results: Key findings from the selected studies indicate that transvaginal morcellation within an enclosed bag offers several advantages in gynecological surgeries, including reduced invasiveness, shorter operative times, and minimal blood loss when compared to conventional methods. The risk of tumor recurrence or dissemination appears to be low when appropriate precautions are taken, emphasizing the technique’s safety, especially when performed by experienced surgical teams. While some studies reported complications, these were generally not directly associated with the morcellation technique. Conclusion: Transvaginal morcellation within an enclosed bag demonstrates potential as a safe and effective option for gynecological surgeries. The technique offers the benefits of minimally invasive procedures, including reduced bleeding, shorter recovery times, and improved cosmetic outcomes. This review also highlights the need for standardization in study methodologies and reporting, as the heterogeneity in outcomes across the selected studies poses challenges in drawing definitive conclusions. © The Author(s) 2024.
dc.description.sponsorshipTürkiye Bilimsel ve Teknolojik Araştırma Kurumu, TÜBİTAK
dc.identifier.doi10.1007/s00404-024-07676-y
dc.identifier.endpage1876
dc.identifier.issn0932-0067
dc.identifier.issue4en_US
dc.identifier.pmid39097538
dc.identifier.scopus2-s2.0-85200338068
dc.identifier.scopusqualityQ2
dc.identifier.startpage1857
dc.identifier.urihttps://doi.org/10.1007/s00404-024-07676-y
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12347
dc.identifier.volume310
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofArchives of Gynecology and Obstetrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGynecological surgery
dc.subjectIn-bag
dc.subjectSafety
dc.subjectSurgical complications
dc.subjectTransvaginal
dc.titleTransvaginal morcellation within an enclosed bag in gynecological surgeries: a comprehensive systematic review and analysis of safety, efficacy, and outcomes
dc.typeReview Article

Dosyalar