Parasitic myomas after laparoscopic surgery: an emerging complication in the use of morcellator? Description of four cases

Gaspare Cucinella, Antonino Perino, Gloria Calagna, Roberta Granese, Edgardo Somigliana

Risultato della ricerca: Articlepeer review

107 Citazioni (Scopus)

Abstract

Objective: To report the development of parasitic myomas after the use of a morcellator. Design: Retrospective study.Setting: Tertiary care referral center for the treatment of benign gynecologic pathologies. Patient(s): Women undergoing surgery for uterine fibroids.Intervention(s): Chart review.Main Outcome Measure(s): Presence of parasitic leiomyomas.Result(s): We identified four cases of parasitic myomas over the 3-year study period. Two out of the four were symptomatic. The prevalence of this complication, considering all women with whom the electric morcellator was used (n 1⁄4 423) was 0.9% (95% CI, 0.3–2.2%). Considering exclusively the women who underwent myomectomy (n 1⁄4 321), it was 1.2% (95% CI, 0.4–2.9%).Conclusion(s): Laparoscopic myomectomy with the use of a morcellator is associated with an increased risk of developing of parasitic myomas. A thorough inspection and washing of the abdominopelvic cavity at the end of the surgery should be performed to prevent this rare complication.
Lingua originaleEnglish
pagine (da-a)e90-e96
Numero di pagine7
RivistaFertility and Sterility
Volume96
Stato di pubblicazionePublished - 2011

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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