1. How many gynaecologists within your organisation perform laparoscopic procedures requiring morcellation? 3

2. How many power morcellators do you purchase per annum for gynaecology? around 24-30 as occasionally need 2 per case

3. How many power morcellators do you use in gynaecology per annum? 28

4. How many laparoscopic hysterectomies requiring morcellation do you perform annually? 16

5. How many laparoscopic myomectomies requiring morcellation do you perform annually? 12

6. For patients requiring morcellation, do you routinely perform pre-operative MRI? Yes, most sensitive modality, 80% pick up rate based on Norwegian studies

7. For patients requiring morcellation, do you routinely perform pre-operative endometrial sampling/biopsy? Yes and outpatient hysteroscopy

8. During the consent process, do you specifically consent for power morcellation in gynaecology? Yes inc. all forms of morcellation

9. During the consent process, what risk of inadvertent leiomyosarcoma do you quote during hysterectomies/myomectomies for benign fibroids? 1:500-1:7400, but <1:1000 if under 40 years old

10. During the consent process, what risk do quote for spread of inadvertent leiomyosarcoma from power morcellation? As above

11. Has your organisation ever encountered inadvertent leiomyosarcoma following  hysterectomy or myomectomy for presumed benign indications? If so, many? No

12. Do you have information leaflet about morcellation in gynaecology? No

13. What audit procedures do you have in place for gynaecologists participating in power morcellation? Continual prospective audit

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