[Long-term complication of laparoscopic uterine morcellation: iatrogenic parasitic myomas]. / Complication à long terme du morcellement utérin par voie cÅlioscopique: les myomes parasitiques iatrogènes.
J Gynecol Obstet Biol Reprod (Paris)
; 42(6): 577-84, 2013 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-23973119
ABSTRACT
OBJECTIVES:
Identify parasitic myomas following uterine laparoscopic morcellation and describe the circumstances of diagnosis, management, potential consequences and possible preventive measures.METHODS:
Retrospective study of observed cases in a university hospital between 2000 and 2012 and review of the literature.RESULTS:
Five cases were identified in our department. Pelvic pain was the main symptom in three patients while one was asymptomatic and one consulted for a cystocele. The average time to diagnosis was 88 months (3-192). Surgical removal was performed in four cases by laparoscopy and vaginally for one case. Histological examination showed typical leiomyomas, but in one case, an atypical leiomyoma with limited experience for a typical primary lesion. In the literature, there are about 50 cases. One required a bowel resection and for another one, after subtotal hysterectomy, histological examination showed complex atypical endometrial hyperplasia for normal endometrium initially.CONCLUSIONS:
This study should draw the attention of laparoscopic surgeon. It emphasizes, beyond a potential reoperation, a risk of atypical histological secondary processing. Surgical resection should be discussed even in case of asymptomatic lesions.Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Neoplasias Uterinas
/
Laparoscopía
/
Enfermedad Iatrogénica
/
Leiomioma
/
Mioma
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
Fr
Revista:
J Gynecol Obstet Biol Reprod (Paris)
Año:
2013
Tipo del documento:
Article