{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:30:12Z","timestamp":1786984212100,"version":"build-2736575974"},"reference-count":27,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2017,3]]},"DOI":"10.1016\/j.ajog.2016.11.1039","type":"journal-article","created":{"date-parts":[[2016,11,24]],"date-time":"2016-11-24T18:01:21Z","timestamp":1480010481000},"page":"259.e1-259.e6","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":52,"title":["Laparoscopic hysterectomy with morcellation vs abdominal hysterectomy for presumed fibroids: an updated decision analysis following the 2014 Food and Drug Administration safety communications"],"prefix":"10.1016","volume":"216","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7524-2467","authenticated-orcid":false,"given":"Matthew T.","family":"Siedhoff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemi M.","family":"Doll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Clarke-Pearson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Rutstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajog.2016.11.1039_bib1","unstructured":"Food and Drug Administration. Laparoscopic uterine power morcellation in hysterectomy and myomectomy: FDA safety communication. Available at: http:\/\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/ucm393576.htm. Accessed Sept. 25,\u00a02016."},{"key":"10.1016\/j.ajog.2016.11.1039_bib2","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.jmig.2016.01.019","article-title":"Impact of the 2014 Food and Drug Administration warnings against power morcellation","volume":"23","author":"Lum","year":"2016","journal-title":"J\u00a0Minim Invasive Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib3","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.jmig.2015.09.021","article-title":"Impact of the Food and Drug Administration safety communication on the use of power morcellator in daily clinical practice: an Italian survey","volume":"23","author":"Mandato","year":"2016","journal-title":"J\u00a0Minim Invasive Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib4","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1097\/AOG.0000000000001111","article-title":"Association of the US Food and Drug Administration morcellation warning with rates of minimally invasive hysterectomy and myomectomy","volume":"126","author":"Barron","year":"2015","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib5","doi-asserted-by":"crossref","first-page":"98.e1","DOI":"10.1016\/j.ajog.2015.08.047","article-title":"Practice patterns and postoperative complications before and after US Food and Drug Administration safety communication on power morcellation","volume":"214","author":"Harris","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib6","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1001\/jama.2016.9432","article-title":"Trends in use and outcomes of women undergoing hysterectomy with electric power morcellation","volume":"316","author":"Wright","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2016.11.1039_bib7","doi-asserted-by":"crossref","first-page":"591.e1","DOI":"10.1016\/j.ajog.2015.03.006","article-title":"Laparoscopic hysterectomy with morcellation vs abdominal hysterectomy for presumed fibroid tumors in premenopausal women: a decision analysis","volume":"212","author":"Siedhoff","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib8","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1001\/jama.2014.9005","article-title":"Uterine pathology in women undergoing minimally invasive hysterectomy using morcellation","volume":"312","author":"Wright","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2016.11.1039_bib9","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1001\/jamaoncol.2014.206","article-title":"Use of electric power morcellation and prevalence of underlying cancer in women who undergo myomectomy","volume":"1","author":"Wright","year":"2015","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib10","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/AOG.0000000000001187","article-title":"Occult uterine sarcoma and leiomyosarcoma: incidence of and survival associated with morcellation","volume":"127","author":"Raine-Bennett","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib11","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1001\/jamasurg.2014.3518","article-title":"Population-based estimates of the prevalence of uterine sarcoma among patients with leiomyomata undergoing surgical treatment","volume":"150","author":"Mao","year":"2015","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ajog.2016.11.1039_bib12","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ejogrb.2015.11.009","article-title":"Incidence of occult leiomyosarcoma in presumed morcellation cases: a database study","volume":"197","author":"Rodriguez","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib13","series-title":"Cancer of the corpus uteri, National Cancer Institute, SEER program","first-page":"123","article-title":"SEER survival monograph: cancer survival among adults: US SEER program, 1988-2001, patient and tumor characteristics","author":"Kosary","year":"2007"},{"key":"10.1016\/j.ajog.2016.11.1039_bib14","doi-asserted-by":"crossref","first-page":"594.e1","DOI":"10.1016\/j.ajog.2014.12.002","article-title":"Uterine sarcomas and parasitic myomas after laparoscopic hysterectomy with power morcellation","volume":"212","author":"Tan-Kim","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib15","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.ygyno.2014.11.018","article-title":"Incidental power morcellation of malignancy: a retrospective cohort study","volume":"136","author":"Graebe","year":"2015","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib16","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.jmig.2015.11.012","article-title":"Uterine sarcomas in patients undergoing surgery for presumed leiomyomas: 10 years' experience","volume":"23","author":"Paul","year":"2016","journal-title":"J\u00a0Minim Invasive Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib17","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s10397-015-0894-4","article-title":"The prevalence of occult\u00a0leiomyosarcoma at surgery for presumed uterine fibroids: a meta-analysis","volume":"12","author":"Pritts","year":"2015","journal-title":"Gynecol Surg"},{"key":"10.1016\/j.ajog.2016.11.1039_bib18","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/AOG.0000000000001242","article-title":"Risk of occult uterine sarcoma in women undergoing hysterectomy for benign indications","volume":"127","author":"Kho","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib19","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/s00404-015-3696-z","article-title":"Malignancy rate of 10,731 uteri morcellated during laparoscopic supracervical hysterectomy (LASH)","volume":"292","author":"Bojahr","year":"2015","journal-title":"Arch Gynecol Obstet"},{"key":"10.1016\/j.ajog.2016.11.1039_bib20","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/IGC.0000000000000558","article-title":"Morcellation and the incidence of occult uterine malignancy: a dual-institution review","volume":"26","author":"Picerno","year":"2016","journal-title":"Int J Gynecol Cancer"},{"key":"10.1016\/j.ajog.2016.11.1039_bib21","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.jmig.2014.09.005","article-title":"Laparoscopic supracervical hysterectomy with morcellation: should it stay or should it go?","volume":"22","author":"Brown","year":"2015","journal-title":"J\u00a0Minim Invasive Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib22","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/AOG.0000000000001591","article-title":"Outcomes and postoperative complications after hysterectomies performed for benign compared with malignant indications","volume":"128","author":"Wallace","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib23","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1111\/j.1471-0528.2004.00174.x","article-title":"Severe complications of hysterectomy: the VALUE study","volume":"111","author":"McPherson","year":"2004","journal-title":"BJOG"},{"key":"10.1016\/j.ajog.2016.11.1039_bib24","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1097\/AOG.0b013e318248f7a8","article-title":"Effect of surgical volume on outcomes for laparoscopic hysterectomy for benign indications","volume":"119","author":"Wallenstein","year":"2012","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib25","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s10397-013-0781-9","article-title":"Abdominal versus laparoscopic hysterectomies for benign diseases: evaluation of morbidity and mortality among 465,798 cases","volume":"10","author":"Wiser","year":"2013","journal-title":"Gynecol Surg"},{"key":"10.1016\/j.ajog.2016.11.1039_bib26","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jmig.2015.07.017","article-title":"Risk factors for occult uterine sarcoma among women undergoing minimally invasive gynecologic surgery","volume":"23","author":"Oduyebo","year":"2016","journal-title":"J\u00a0Minim Invasive Gynecol"},{"key":"10.1016\/j.ajog.2016.11.1039_bib27","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.jmig.2016.01.022","article-title":"The role of endometrial biopsy in the preoperative detection of uterine leiomyosarcoma","volume":"23","author":"Hinchcliff","year":"2016","journal-title":"J\u00a0Minim Invasive Gynecol"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937816320683?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937816320683?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:10:42Z","timestamp":1757589042000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937816320683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["S0002937816320683"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2016.11.1039","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2017,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Laparoscopic hysterectomy with morcellation vs abdominal hysterectomy for presumed fibroids: an updated decision analysis following the 2014 Food and Drug Administration safety communications","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2016.11.1039","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}