J E Carter1, S D McCarus. 1. Women's Health Center of South Orange County, Inc., Mission Viejo, California 92691, USA.
Abstract
OBJECTIVE: To compare electromechanical to manual morcellation in the performance of laparoscopic myomectomies. STUDY DESIGN: Laparoscopic myomectomy was performed with manual or electromechanical morcellation in a case-control study. Weight of myoma, patient weight and age were matched. Length of time for morcellation, blood loss, complications and length of hospital stay were measured. RESULTS: Twenty-eight cases of laparoscopic myomectomy, 14 with a manual and 14 with an electromechanical morcellator, were performed. Use of the electromechanical morcellator reduced the average time for extraction of myomas < 100 g by 15 minutes and 401-500 g by 150 minutes on average. The average time savings for all myomectomies was 53 minutes. With operating room charges of $10 per minute, the $14,000 cost of the morcellator was recovered by the 21st case. CONCLUSION: Electromechanical morcellation results in significant time savings as compared to the manual technique. Financial savings accrue rapidly after the 21st case.
OBJECTIVE: To compare electromechanical to manual morcellation in the performance of laparoscopic myomectomies. STUDY DESIGN: Laparoscopic myomectomy was performed with manual or electromechanical morcellation in a case-control study. Weight of myoma, patient weight and age were matched. Length of time for morcellation, blood loss, complications and length of hospital stay were measured. RESULTS: Twenty-eight cases of laparoscopic myomectomy, 14 with a manual and 14 with an electromechanical morcellator, were performed. Use of the electromechanical morcellator reduced the average time for extraction of myomas < 100 g by 15 minutes and 401-500 g by 150 minutes on average. The average time savings for all myomectomies was 53 minutes. With operating room charges of $10 per minute, the $14,000 cost of the morcellator was recovered by the 21st case. CONCLUSION: Electromechanical morcellation results in significant time savings as compared to the manual technique. Financial savings accrue rapidly after the 21st case.
Authors: Young Bin Won; Hyun Jin Lee; Kyung Jin Eoh; Young Shin Chung; Yong Jae Lee; Seon Hee Park; Jee Whan Kim; Jung Yoon Lee; Eun Ji Nam; Sunghoon Kim; Young Tae Kim; Sang Wun Kim Journal: Obstet Gynecol Sci Date: 2018-02-02
Authors: Marcello Ceccaroni; Giovanni Roviglione; Anna Pesci; Sara Quintana; Francesco Bruni; Roberto Clarizia Journal: Wideochir Inne Tech Maloinwazyjne Date: 2014-05-26 Impact factor: 1.195