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Morcellation shows favorable risk/benefit ratio in decision analysis

Key clinical point: Despite the much-publicized risk of intraperitoneal dissemination of tumor during morcellation in women undergoing laparoscopic hysterectomy for fibroids, the projected 5-year overall survival is better than with abdominal hysterectomy.

Major finding: In a hypothetical population of 200,000 women undergoing hysterectomy for presumed fibroids, laparoscopic surgery with morcellation would result in a projected 98 deaths from all causes during 5 years of follow-up and abdominal hysterectomy would result in 103 deaths.

Data source: This was a decision analysis in which the probabilities of various surgical outcomes based upon studies in the published literature were applied to a hypothetical cohort of 200,000 women undergoing hysterectomy for removal of fibroids, half laparoscopically with morcellation and half via abdominal hysterectomy.

Disclosures: The presenter reported having no financial conflicts of interest regarding the decision analysis study.


 

AT MINIMALLY INVASIVE SURGERY WEEK

References

Dr. Siedhoff reported having no financial conflicts regarding the decision analysis, conducted with university funds.

bjancin@frontlinemedcom.com

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