Arnold Advincula's Surgical Techniques

The Extracorporeal C-Incision Tissue Extraction (ExCITE) technique

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As a result of recent concerns regarding the use of power morcellation, clinicians have been faced with the need to develop alternative techniques for contained tissue extraction during minimally invasive gynecologic procedures such as myomectomy and hysterectomy.

The following video represents a refined and reproducible approach that incorporates a containment bag (Anchor Medical) and a self-retaining retractor (Applied Medical) in order to meet the following objectives:

  1. tissue extraction without the need for power morcellation
  2. specimen containment to avoid intraperitoneal spillage
  3. ability to continue to offer minimally invasive surgical options to patients through a safe and standardized approach to tissue extraction.

The example case is real-time, contained, intact removal of an 8-cm, 130-g fibroid.

Vidyard Video

I hope you enjoy the featured opening session on best tissue extraction standards at the AAGL Global Congress on Minimally Invasive Gynecology in ­Vancouver and stop by to visit me at the OBG Management booth.

— Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair

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