Enclosed Transvaginal Morcellation of an Enlarged Uterus

Enclosed Transvaginal Morcellation of an Enlarged Uterus after Total Laparoscopic Hysterectomy and Bilateral Salpingo-oophorectomy. In this video we demonstrate transvaginal extracorporeal morcellation of a large uterus within an enclosed endoscopic bag. This technique avoids the intraperitoneal dissemination of pathology. After completion of the hysterectomy, the endoscopic specimen bag is inserted transvaginally through a wound retractor, the specimen is placed in the bag, and the neck of the bag is exteriorized. The cervix, ovaries, and fallopian tubes are removed en bloc, and the uterus is morcellated with a scalpel within the bag. Courtesy of Ceana Nezhat, MD. Used with permission.