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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish
JournalFertility and Sterility
Volume96
Issue number2
DOIs
Publication statusPublished - Aug 2011

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Keywords

  • Fibroid
  • laparoscopy
  • leiomyoma
  • morcellator
  • parasitic myoma

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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