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Comment & Response
July 2, 2014

Electric Uterine Morcellation—Reply

Author Affiliations
  • 1Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas
  • 2Atlanta Center for Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2014;312(1):96-97. doi:10.1001/jama.2014.6172

In Reply In our Viewpoint, we highlighted the following issues: (1) bringing attention to the risks associated with intracorporeal morcellation, (2) using alternatives to unprotected or unenclosed intracorporeal morcellation, (3) developing safer techniques and instruments, and (4) encouraging improvements in surgical procedure and device monitoring.

We reiterate our concern that appropriate and safe use of medical technology is paramount, yet we must disagree with Dr Melamed’s suggestion that the current understanding and instrumentation will suffice. Much work remains to be done to address concerns regarding intracorporeal morcellation, including quantifying the risks of both benign and occult malignant tissue dissemination, as well as risks of iatrogenic tissue injury. Increased scrutiny on the topic stresses the importance of discussing these issues, which have been a concern for the past several years.1,2

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