The alternatives?
The FDA advisory suggests that providers "be aware that some clinicians
and medical institutions now advocate using a specimen bag during morcel-
lation in an attempt to contain the uterine tissue and minimize the risk of
spread in the abdomen and pelvis."
Current specimen bags are not available in large enough or malleable
enough material to protect the pelvis without dangerously restricting visi-
bility and/or risking entrapment in the blade of the morcellator. The risk of
inhibiting optimum visualization and mobility of the instruments is huge,
and unless you've performed hundreds of these procedures, you're likely
to have little concept of the technical difficulties involved. As far as I'm
concerned, using currently available bag technology in the unlikely hope of
restricting a prohibitively rare cancer, while at the same time significantly
G Y N E C O L O G Y
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