Day 4: Congress - Tuesday, November 12, 2019

Surgical Tutorial 4: Controversies and Approaches to Tissue Extraction


Tuesday, November 12, 2019


2:00 pm – 3:00 pm


Rooms 220-222




Sarah L. Cohen


William H. Parker, Elizabeth A. Pritts, Megan N. Wasson

Course Description

This session provides a comprehensive look at the topic of tissue extraction at the time of surgery for presumed benign fibroid disease. Beginning with an overview of the epidemiologic evidence surrounding the issue of occult leiomyosarcoma, the faculty will then present techniques for approaches to tissue extraction at time of hysterectomy or myomectomy, including a discussion of tips and tricks for contained extraction. The faculty will discuss evidence-based recommendations, as well as limitations to our current knowledge on this topic.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Select and perform the appropriate modality of tissue extraction for a variety of clinical scenarios.

Course Outline

2:00Welcome, Introductions, and Course OverviewS.L. Cohen
2:05Epidemiology and Evidence regarding Occult LeiomyosarcomaE.A. Pritts
2:15Vaginal Extraction: Options for Vaginal Hysterectomy and Laparoscopic or Robotic HysterectomyM. Wasson
2:25Myomectomy: Limitations of Containment Systems and Techniques for Post Extraction IrrigationW.H. Parker
2:35Alternatives for Specimen Removal: Minilaparotomy, Posterior Cul-de-sac, Laparotomy and Power MorcellationS.L. Cohen
2:45Unanswered Questions in Tissue Containment. Question & AnswersAll Faculty