Surgical cytoreduction for disseminated benign disease after open power uterine morcellation.

Abstract:

BACKGROUND:Uterine morcellation is a technique used in gynecologic surgery to facilitate a laparoscopic approach to the removal of an enlarged uterus. The safety of this technique has been a source of recent debate, as uterine morcellation can result in the intraperitoneal dissemination of undiagnosed uterine malignancies. CASES:We report on three women who previously underwent minimally invasive hysterectomy and open power morcellation for benign disease, who subsequently presented with peritoneal implants highly suspicious for malignancy. Each woman required a laparotomy and extensive, multiorgan resection to clear the disease. Benign pathology was diagnosed in all cases. CONCLUSION:Even in the setting of benign conditions, open power morcellation of the uterus may be associated with clinically significant dissemination of uterine disease.

journal_name

Obstet Gynecol

authors

Ramos A,Fader AN,Long Roche K

doi

10.1097/AOG.0000000000000549

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

99-102

issue

1

eissn

0029-7844

issn

1873-233X

pii

00006250-201501000-00017

journal_volume

125

pub_type

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