{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:38:04Z","timestamp":1785523084812,"version":"3.56.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>This study aimed to compare the laparoscopic\u2010enclosed electromechanical morcellation (LEM) with vaginal\u2010enclosed scalpel morcellation (VSM) in laparoscopic myomectomy procedures.<\/jats:p><\/jats:sec>Methods<\/jats:title>One hundred eighteen patients who underwent laparoscopic myomectomy were enrolled the prospective randomized interventional clinical study in tertiary university hospital. After myomectomy, tissue removal was accomplished via either LEM using the in\u2010glove morcellation technique or VSM.<\/jats:p><\/jats:sec>Results<\/jats:title>The median tissue removal time was longer in the LEM group (25\u2009min [range: 14\u201355]) than the VSM group (20\u2009min [range: 6\u201338] [p<\/jats:italic>\u00a0=\u00a00.001]). Rescue analgesia requirement was significantly higher in the LEM group than the VSM group (mean rank: 56.92 vs. 40.92 doses, respectively; p<\/jats:italic>\u2009<\u20090.001). There was no significant difference between preoperative and postoperative third month total scores of female sexual function index (FSFI) and subdomains in the LEM group. Conversely, all subdomains and total scores of FSFI (26.5 [16.7\u201334.8] vs. 22.7 [15.2\u201328.7]) except pain significantly worsened 3\u2009months after operation in the VSM group.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>LEM was associated with a longer tissue removal time and increased postoperative analgesic requirement. On the other hand, VSM was associated with worsened postoperative sexual function from baseline.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15507","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T13:42:38Z","timestamp":1669297358000},"page":"691-700","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of laparoscopic enclosed electromechanical morcellation and vaginal enclosed scalpel morcellation at laparoscopic myomectomy: A prospective randomized trial"],"prefix":"10.1111","volume":"49","author":[{"given":"Ali","family":"Akdemir","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University School of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2526-6986","authenticated-orcid":false,"given":"Sabahattin A.","family":"Ari","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bakircay University School of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enes","family":"Taylan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences Yale University School of Medicine New Haven Connecticut USA"},{"name":"Department of Obstetrics and Gynecology Mount Sinai Hospital Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firat","family":"Okmen","sequence":"additional","affiliation":[{"name":"Adana City Training and Research Hospital Adana Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7346-3987","authenticated-orcid":false,"given":"Cagdas","family":"Sahin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University School of Medicine Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-200108000-00005"},{"key":"e_1_2_9_3_1","unstructured":"U.S. Food and Drug Administration. Safety Communications > UPDATED Laparoscopic Uterine Power Morcellation in Hysterectomy and Myomectomy: FDA Safety Communication [Internet]. 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