Fibroid Removal with Morcellator Bears Low Cancer Risk

Dr Keith Reisler pic

Dr Keith Reisler
Image: drreislerobgyn.com

Having received his medical degree from State University of New York, Downstate College of Medicine, Dr. Keith Reisler of Plano, TX, has practiced healthcare for over 30 years. Specializing in women’s health, Keith Reisler, MD, is board certified by the American Board of Obstetrics and Gynecology and currently a private practitioner. He is trained in a minimally invasive procedure to remove uterine fibroids with the use of a power morcellator.

Recent findings by the Journal of the American Medical Association – Oncology reports that when a small power tool called a morcellator is used to remove fibroids in the uterus, the likelihood of causing the spread of hidden cancerous tumors inside the abdomen is low. Although reassuring, the device remains under restricted use. In fact Dr. Keith Reisler was interviewed by the Wall Street Journal regarding this subject in an article published April, 2014. At that time Dr Reisler cautioned against the use of this instrument until more studies were available.

The power morcellator uses a rotating blade, allowing a surgeon to break apart uterine fibroids or the uterus itself during a hysterectomy. After the tissue has been morcellated, the remains may be removed via tiny incisions.

While the Food and Drug Administration (FDA) cautioned clinicians not to use the power morcellator in removing uterine fibroids on most females due to the risk of having undiagnosed cancerous uterine tumors, the FDA states some younger females may still be adequate candidates for use with the device. Chief of gynecologic oncology, Dr. Jason Wright at Columbia University examined over 42,000 cases of females in the United States between 2012 and 2016 who had uterine fibroids removed. Of that, only three females developed uterine cancer from more than 3,200 power morcellator procedures. Dr Keith Reisler still cautions against the use of this instrument in most patients since there is also concern about the spread of endometriosis and fibroid tumors throughout the abdominal cavity with the use of this instrument.