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After the FDA statement was issued, studies showed decreased rates of minimally invasive surgery and increased rates of open abdominal hysterectomy.
That potential harms were associated with decreased rates of minimally invasive surgery following reduced morcellation use should be considered by clinicians and patients during shared decision making and by regulatory bodies and medical societies
subgroup, the rate of open abdominal surgery increased from 37.2% to 43.0%, and the rate of minimally invasive surgery (total laparoscopic hysterectomy, laparoscopic supracervical hysterectomy, and laparoscopic-assisted vaginal hysterectomy) decreased from 56.1% to 49.7% (P < .001).
This increased risk corresponding with a decreased use of minimally invasive surgery should be balanced against the potential harms of morcellation during a shared decision-making process between clinician and patient.
When an operation is required, most women prefer minimally invasive surgery (MIS) that is less invasive, has a short recovery time, and has lower associated complications compared with those following open abdominal surgical procedures.
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