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Morcellators
Morcellators are specialized surgical instruments used to divide larger tissue resections into smaller pieces to facilitate extraction through a laparoscopic port or small incision. Electromechanical morcellators (ssss1) are commercially available and commonly used in human laparoscopy.
Mechanical morcellators debulk large tissues using a sharp cylindrical blade, which shaves off tissues into layered strips, that are exteriorized though a hollow tube or shaft inserted in a cannula [3, 4, 6]. Typically, grasping forceps are inserted through the morcellator device to handle the tissue of interest and withdraw the tissue into the hollow cylindrical lumen of the morcellator and into contact with the rotating circular cutting blade. In order to minimize potential contact of tissues within the abdomen during morcellation, this technique can also be performed with the tissue enclosed in a specimen retrieval bag. The FDA issued a recommendation to not use power morcellation in patients with suspected or confirmed cancer due to the risk for tumor cell seeding without the use of a tissue containment system [20]. A systematic review of laparoscopic morcellator‐related complications underscored the need for surgeons' safe practices associated with its use [21]. The authors recommend any morcellation of potentially harmful tissues in veterinary patients to be performed within specimen retrieval bags.