morcellation
Pronunciation: more-sell-AY-shun
Surgical technique of cutting large specimens into smaller pieces for removal through small incisions. Controversial in gynecologic surgery due to spread risk.
Full Definition
Morcellation is a surgical technique that involves cutting or fragmenting large tissue specimens into smaller pieces to facilitate removal through small incisions during minimally invasive procedures. In gynecologic surgery, this technique has been used to remove large uteri, fibroids, or ovaries during laparoscopic procedures. However, morcellation has become controversial due to the risk of spreading undiagnosed malignant tissue throughout the peritoneal cavity. The FDA issued safety warnings about power morcellation in 2014, leading to the development of containment systems and more stringent patient selection criteria. Many institutions now require containment bags or have restrictions on morcellation use.
Usage
Usage note: Address FDA safety warnings and institutional policies when documenting morcellation procedures.
In Context
- "The large fibroid required morcellation within a containment bag for safe removal." — operative report
- "Due to FDA guidelines, morcellation was avoided and the specimen was removed intact." — surgical decision note