Hysteroscopic morcellation-origin and future

Samina Ashraf and Rahul Manchanda

A morcellator is a surgical instrument used for division and removal of large masses of tissue. This procedure is designed to remove large masses of tissue through minimally invasive procedure. Initially morcellators were used primarily in laproscopic procedures but now the hysteroscopicmorcellators have been in vogue.
Newer hysteroscopic surgical technique especially morcellation allows us to remove not only polyps but also submucousmyomas and even retained products of conception. It also raises few if any concerns about spreading or upstaging an unsuspected malignancy , unlike laproscopicmorcellation. The use of hysteroscopic morcellation has been on rise since first hysteroscopy cmorcellator became available in US in 2005.
In this article we review the available literature to put into perspective the current status and position of morcellation in clinical practice. The evolution of hysteroscopic morcellation, its advantages and recent controversies and its future is discussed.

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DOI: http://dx.doi.org/10.24327/ijcar.2017.5297.0692