Does Contained Manual Morcellation in Minimally Invasive Hysterectomy Prevent Myometrial Cell Spillage? Evidence From Sequential Pelvic Washings.

Sequential pelvic washings demonstrate that contained manual morcellation is associated with a low rate of myometrial cell spillage, with most spillage occurring before morcellation begins. These findings support the safety and effectiveness of containment systems and highlight that tissue dissemination risk may originate from the hysterectomy itself rather than morcellation alone.