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Acta Obstétrica e Ginecológica Portuguesa
Print version ISSN 1646-5830
Abstract
NASCIMENTO, Sara and REIS, José. Uterine morcellation: Update and proposal of an informed consent. Acta Obstet Ginecol Port [online]. 2019, vol.13, n.2, pp.106-112. ISSN 1646-5830.
Morcellation is a surgical technique, sometimes necessary to perform minimally invasive surgery, namely laparoscopic hysterectomy and myomectomy. As it is difficult to distinguish preoperatively a fibroid from a leyomiosarcoma, there are concerns that inadvert morcellation of a malignant tumor might occur, in which case the prognosis of the disease might be worsened. As new evidence arises regarding patient selection, preoperative care and preventive measures, it has become mandatory to inform and discuss the risks and benefits of the procedure with the patient, so that a true informed consent is achieved.
Keywords : Morcellation; Leiomyosarcoma; Informed consent.