Interesting short summary article about uterine fibroid removal. Had no idea there were an estimated 600k hysterectomies per year in the US.
There’s growing concern that minimally invasive surgery to remove fibroids by cutting up tissue into small pieces (morcellation) may lead to dissemination of undetected malignancies. A study of >1000 instances of uterine morcellation at 1 institution found 9 of 14 patients, or 64.3%, with benign and malignant uterine tumors experienced dissemination! The problem is that symptoms and imaging findings associated with uterine sarcoma vs. benign fibroids are often identical. Plus, endometrial sampling for uterine sarcoma only has a sensitivity of 38% to 62%. One proposed solution to the dissemination risk involves grasping fibroids through a minilaparotomy incision or the vagina and then shelling the fibroids inside a bag before morcellating them.