Randomized Controlled Study Comparing the Gynecare Morcellex and Rotocut G1 Tissue Morcellators

Study Objective To evaluate the effectiveness of the Gynecare Morcellex tissue morcellator (Ethicon, Inc., Somerville, NJ) in laparoscopic supracervical hysterectomy and myomectomy. Design Randomized controlled trial (Evidence I). Setting University department of obstetrics and gynecology. Patients Seventy-four patients with symptomatic uterine myomas scheduled for laparoscopic supracervical hysterectomy or myomectomy. Interventions Laparoscopic supracervical hysterectomy and myomectomy followed by tissue morcellation using the Gynecare Morcellex (experimental group) or the Rotocut G1 morcellator (Karl Storz GmbH & Co. KG, Tuttlingen, Germany) (control group). Measurements and Main Results Patient characteristics and surgical data were noted for both groups. No difference was detected between groups in any parameters assessed, whereas a significant difference (p <.05) in handling score was detected in the experimental group compared with the control group. Conclusion The Gynecare Morcellex is an effective instrument with excellent safety and handling.