Laparoscopic Power Morcellators: Function and Use
Laparoscopic power morcellators are surgical instruments used in minimally invasive procedures to divide large tissue masses into smaller fragments for easier removal through small incisions. They are commonly employed in gynecologic, urologic, and general surgical procedures.
Structure and Mechanism : A power morcellator consists of a rotating blade or cutting mechanism housed within a tube, along with a handle or control system operated by the surgeon. Some devices include a containment system to reduce the risk of tissue dispersal within the abdominal cavity.
Applications : These instruments are primarily used to remove large uterine fibroids, tissue from hysterectomies, or other soft tissue masses during laparoscopic surgery. By fragmenting tissue, morcellators enable minimally invasive access while reducing incision size and recovery time.
Considerations and Safety : Use of power morcellators requires careful assessment of patient suitability and tissue characteristics. There is a risk of spreading undiagnosed malignant tissue, so preoperative evaluation and containment strategies are critical. Proper training, sterilization, and adherence to surgical protocols are essential for safe operation.
Conclusion : Laparoscopic power morcellators facilitate the removal of large tissue masses in minimally invasive surgery. Their use focuses on efficiency, precision, and patient safety, guided by clinical assessment and surgical best practices.