Myoma Morcellation

14.05.2026 Prof. Dr. Cihan Kaya

What is Myoma Morcellation? – Patient Information Guide

What is Morcellation?

Morcellation is the process of removing large tissues (e.g., fibroids) from the body by dividing them into smaller pieces. It is especially used in minimally invasive surgeries.

Why is Morcellation Performed?

In minimally invasive (laparoscopic or vNOTES) surgeries, tissue needs to be fragmented to remove large fibroids through small incisions.

How is it Performed?

• After the fibroid is removed, it is divided into small pieces using special devices
• These pieces are safely removed from the body
• The procedure is performed under the surgeon's control

In Which Surgeries is it Used?

• Laparoscopic fibroid surgery
• Robotic fibroid surgery
• vNOTES fibroid surgery
• Hysterectomy (uterus removal)

Advantages

• Allows surgery through small incisions
• Less pain
• Faster recovery
• Better cosmetic outcome

Risks

• In very rare cases, spread of tissue into the abdominal cavity
• May pose a risk, especially in the presence of undiagnosed cancer

Safety Measures

• Morcellation performed within a contained system (endobag)
• Detailed pre-operative evaluation
• Appropriate patient selection

In Whom Should it Be Used Cautiously?

• Postmenopausal patients
• Rapidly growing fibroids
• Cases with suspicious imaging findings

Clinical Fact

Morcellation is a safe method when performed with the correct technique and appropriate patient selection, and it is an important part of minimally invasive surgery.

Conclusion

Myoma morcellation is an effective technique that allows the removal of large fibroids through small incisions. Appropriate patient selection is crucial for safe use.

All Posts