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Fertil Steril. 2011 Aug;96(2):e90-6. doi: 10.1016/j.fertnstert.2011.05.095. Epub 2011 Jun 29.

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

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  • 1Department of Obstetrics and Gynaecology, University Hospital "Paolo Giaccone," Palermo, Italy.

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 = 423) was 0.9% (95% CI, 0.3-2.2%). Considering exclusively the women who underwent myomectomy (n = 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.

Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

PMID:
21719004
[PubMed - indexed for MEDLINE]
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