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Parasitic myoma after laparoscopic surgery: a mini-review
Hakan Erenel1, Osman Temizkan1, Begüm Aydoğan Mathyk1
1Clinic of Obstetrics and Gynecology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Journal of the Turkish German Gynecological Association
|September 25, 2015
Summary
Parasitic myomas are rare complications following laparoscopic surgery, often caused by fibroid fragments left after morcellation. Patients should be aware of this risk, and surgeons must diligently remove all tissue during procedures.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Parasitic myomas are a rare complication following laparoscopic gynecological procedures.
- They arise from uterine fibroid fragments disseminated during tissue morcellation.
Purpose of the Study:
- To review and summarize documented cases of parasitic myomas post-laparoscopic surgery.
- To highlight the etiology, clinical presentation, and management of this rare condition.
Main Methods:
- A comprehensive literature search was conducted in the PubMed database.
- Keywords included "laparoscopic hysterectomy," "morcellation," and "parasitic myomas" from January 1997 to December 2014.
- 29 articles describing 53 patients were included in the review.
Main Results:
- Parasitic myomas result from small fibroid fragments remaining after morcellation.
- The condition can be asymptomatic or symptomatic.
- 53 cases were identified in the reviewed literature.
Conclusions:
- Parasitic myoma is a rare but significant risk associated with laparoscopic procedures involving morcellation.
- Informed consent regarding this risk is crucial for patients.
- Surgeons should exercise meticulous care to identify and remove all fibroid fragments during and after morcellation.
Keywords:
Laparoscopic hysterectomylaparoscopic myomectomymorcellationparasitic fibroidsparasitic myomas
