AAGL MEMBER UPDATE: Disseminated Leiomyosarcoma With Power Morcellation
A recent case of dissemination of an occult uterine leiomyosarcoma in a patient with uterine fibroids has given rise to a discussion about the use of power morcellators in gynecology. We understand the concerns that have been raised and we sympathize deeply with those individuals who have been seriously impacted.
The AAGL is reviewing the scientific evidence and best practices reported by our members to provide readily accessible, comprehensive information to our members. Look for an announcement about this in the near future. We recognize that in rare cases the use of power morcellators can lead to the dissemination of an occult malignancy of endometrial or myometrial origin, and also of dissemination of benign morcellated tissues. We encourage our members to fully research and understand the risks of power morcellation and to learn more about when alternative methods of tissue extraction may be appropriate.
We trust that our members will appreciate that the AAGL is taking a cautious and measured approach to this serious issue. As the leading medical society for gynecologists who practice minimally invasive procedures, the AAGL supports current efforts to mitigate and/or eliminate the potential risks associated with tissue extraction. We are establishing a task force to examine this issue. We encourage members to submit descriptions of tissue extraction methods to TissueExtraction@aagl.org.
The AAGL’s primary role is to provide information and training opportunities for our members. We plan to provide comprehensive education on all methods of tissue extraction in webinars, NewsScope, SurgeryU,The Journal of Minimally Invasive Gynecology, and hands-on workshops.
Since our founding in 1971, AAGL has been committed to advancing safe minimally invasive procedures for the benefit of women. We remain committed to this cause and, in particular, to ensuring the safety and efficacy of minimally invasive gynecological surgery.
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