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.
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.
Authors: In Ae Cho; Jong Chul Baek; Ji Kwon Park; Dae Hyun Song; Wan Ju Kim; Yoon Kyoung Lee; Ji Eun Park; Jeong Kyu Shin; Won Jun Choi; Soon Ae Lee; Jong Hak Lee; Won Young Paik Journal: Obstet Gynecol Sci Date: 2016-01-15
Authors: Michael A Seidman; Titilope Oduyebo; Michael G Muto; Christopher P Crum; Marisa R Nucci; Bradley J Quade Journal: PLoS One Date: 2012-11-26 Impact factor: 3.240