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Monday, Nov 24 2014

Full Issue

Scrutiny Of Morcellator Tool Halts Its Use

The Wall Street Journal looks at the history of the tool used during hysterectomies and reports that some doctors continued it even after the risks of it spreading cancer were known.

Dozens of cases have come to light this year of women whose cancers rapidly worsened after morcellation. The U.S. Food and Drug Administration warned in April that the tools can worsen cancer. The top U.S. morcellator maker, Johnson & Johnson, halted sales in April, and many hospitals have curtailed their use. While the newfound scrutiny of the morcellator may save lives, women like Mrs. Interlichia and their families are still paying a grim price for decisions they and their doctors made not long before the alarms rang. (Levitz and Kamp, 11/21)

Doctors at a prominent Boston hospital continued to use a surgical tool during hysterectomies for two years after compiling data in 2011 that questioned the safety of the device and discussing its risks, said hospital officials and doctors. Brigham and Women鈥檚 Hospital curtailed use of the device, the laparoscopic power morcellator in December 2013, acknowledging it had spread a dangerous cancer in two of its patients, one in 2012 and the other in 2013. In March, the Harvard University-affiliated hospital became one of the first in the nation to stop using the tool. (Levitz, 11/23)

But as hundreds of thousands of U.S. women chose robotic hysterectomies for benign diagnoses, some doctors opted to use a technology the Food and Drug Administration in April warned can worsen cancer: the power morcellator. With more robots, 鈥測ou have a bigger bucket of people getting morcellation, and that is why we are seeing more unwanted side effects, including disseminated cancers,鈥 said Dr. Jason Wright, Columbia University Medical Center鈥檚 division chief of gynecologic oncology. (Levitz and Kamp, 11/21)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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