The New and Old Issue of “Tissue Morcellation

While it is widely accepted that minimal invasive surgical techniques definitely lead to less postoperative pain, decreased morbidity and faster recovery time in comparison to open abdominal procedures the tissue retraction and in our gynecological field myoma and uterine power morcellation in order to avoid larger abdominal incisions or colpotomy has been a challenging field of discussions with many contradictory issues. Morcellation is defined as division and removal in small pieces in the Merriam Webster dictionary. Uterine fibroids are benign neoplasms, affecting 20%-40% of women during their reproductive years (1). When laparoscopic or hysteroscopic operations are performed today electromechanical morcellation is used, which allows removal of uterine fibroids and uterine tissue through port sites. However, morcellation procedures can potentially cause intraoperative dissemination of pathological uterine tissue into the abdominal cavity, especially in unsuspected malignant cases, which may lead to a spreading of the disease and may have negative clinical consequences