The development of alternative techniques, such as power morcellation, to allow surgeons to perform minimally invasive procedures while avoiding iatrogenic dissemination of cancer, may significantly benefit patients, according to a study of women undergoing either laparoscopic supracertical hysterectomy (n=17,903) and laparoscopic myomectomy (n=1,603). Researchers found:
• The rate of uterine cancer among women undergoing hysterectomy was 2.96 per 1,000 and increased with age from 0 per 1,000 at age <35 years to 9.07 per 1,000 at ages 55 to 64 years.
• Preoperative endometrial biopsy was documented in 47% of women subsequently diagnosed with uterine cancer.
• Overall rate of malignant and premalignant gynecological conditions was 5.14 per 1,000 for laparoscopic supracervical hysterectomy and 1.87 per 1,000 for laparoscopic myomectomy.
Citation: Perkins RB, Handal-Orefice R, Hanchate AD, Lin M, Paasche-Orlow MK. Risk of undetected cancer at the time of laparoscopic supracervical hysterectomy and laparoscopic myomectomy: implications for the use of power morcellation. [Published online ahead of print November 19, 2015]. Women’s Health Issues. doi: 10.1016/j.whi.2015.09.008.
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Maternal Factors in Cervical Cancer Prevention, Womens Health Issues; ePub 2019 Jan 10; Charlton, et al
Combined Gynecologic Ca & Pelvic Floor Dysfunction Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Oct 22; McConnell, et al