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Intermediate Technical IVT

specimen fragmentation

The intentional division of surgical specimens into smaller pieces to facilitate removal through small incisions.

Full Definition

Specimen fragmentation is a technique used in minimally invasive surgery to remove large specimens through small access ports, typically involving mechanical division within a protective bag or containment system. While this approach maintains the benefits of small incisions, it raises important considerations for pathological examination and oncological safety. Current guidelines recommend power morcellation only in contained systems for suspected benign pathology, with careful patient counseling about risks and benefits.

Usage

Usage note: Preferred term over 'morcellation' in formal documentation due to safety concerns.

In Context

  • "Contained specimen fragmentation was performed to avoid enlarging the extraction site." — Operative technique note
  • "The risks of specimen fragmentation include potential tissue seeding in malignant cases." — Informed consent documentation

Also known as

morcellation specimen division

Contrasted with

intact specimen removal

Don't confuse with

specimen extraction tissue debulking

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