Comparison between the in-bag morcellation techniques during laparoscopic myomectomy or hysterectomy: a systematic review and network meta-analysis

The authors aimed to compare the safety and perioperative outcomes of three in-bag morcellation techniques—intra-abdominal, extra-abdominal, and intra-vaginal—during laparoscopic myomectomy or hysterectomy. Their systematic review and network meta-analysis found no significant differences in intraoperative complications among the techniques, although the intra-vaginal method was associated with a shorter operative time compared to the intra-abdominal approach. The authors emphasize the need for higher-quality studies to better inform the selection of morcellation techniques based on individual patient circumstances.