To the Editor Drs Kho and Nezhat1 discussed the risks associated with electric morcellation of uterine tissue within a patient’s abdomen, a practice that is common in minimally invasive gynecologic surgery. The authors suggested that current evidence is insufficient to estimate the harm that results from dissemination of an occult uterine leiomyosarcoma when morcellation is used for presumed fibroids. The authors also stated that devices that allow surgeons to perform electric morcellation inside an endoscopic bag are “being developed.” I would like to discuss both points.
Melamed A. Electric Uterine Morcellation. JAMA. 2014;312(1):96. doi:10.1001/jama.2014.6169