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.




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

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