With wide spread surgical practice using robot or laparascopy hysterectomy, many surgeons have to work with large uterine mass. Most of these uterine mass are fibroid (benign smooth muscle tumor). Thus, the surgeons would use a morcellator (like a grinder) to make the uterine mass smaller so they could be removed laparascopically (without making large surgical skin incision).
Unfortunately, not all uterine masses are fibroid and it is difficult to tell before surgery which one actually has uterine cancer. If you use the morcellator on uterine cancer, then you may have the cancer spreads on your pelvis and abdomen. Because of some rare cases that have occurred, many surgeons are becoming more cautious about using morcellators. Please discuss with your surgeon if you have large uterine mass and you are about to undergo hysterectomy. You may want to choose open abdominal approach than laparascopic or robotic hysterectomy.
Unfortunately, not all uterine masses are fibroid and it is difficult to tell before surgery which one actually has uterine cancer. If you use the morcellator on uterine cancer, then you may have the cancer spreads on your pelvis and abdomen. Because of some rare cases that have occurred, many surgeons are becoming more cautious about using morcellators. Please discuss with your surgeon if you have large uterine mass and you are about to undergo hysterectomy. You may want to choose open abdominal approach than laparascopic or robotic hysterectomy.
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