Laparoscopic Myomectomy: Do Size, Number, and Location of the Myomas Form Limiting Factors for Laparoscopic Myomectomy?

Sinha, Rakesh; Hegde, Aparna; Mahajan, Chaitali; Dubey, Nandita; Sundaram, Meenakshi

doi:10.1016/j.jmig.2008.01.009

Cited by 143 publications

(113 citation statements)

References 33 publications

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“…According to the literature, the overall incidence of parasitic myomas after laparoscopic surgery with the use of morcellation is reported to range between 0.12% and 0.9%, and the incidence of parasitic myomas after laparoscopic myomectomy between 0.2% and 1.2% 3,5,6 . Yet another potential diffi culty with laparoscopic power morcellators can be destruction of myometrial tissue through morcellation with an associated risk of malignant dissemination of uterine sarcoma 4,7,8 .…”

Section: Discussionmentioning

confidence: 99%

Parasitic myoma as an adnexal mass: unexpected finding after vaginal hysterectomy

Delić

Weber

2016

European Journal of Obstetrics & Gynecology and Reproductiv

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SUMMARY -A rare case of parasitic myoma mimicking an adnexal mass in a previously hysterectomized, postmenopausal woman is presented. Two years after vaginal hysterectomy (due to myomas), an asymptomatic right adnexal tumor was noted during regular annual follow up. Ultrasound demonstrated a large 4-5 cm solid mass in the right adnexa, while ovarian cancer biomarkers (CA 125 and HE4) were negative. Intraoperatively, another 3 cm large solid tumor located above the vaginal cuff was discovered. Both pelvic tumors were excised by laparoscopic surgery. Th e masses were confi rmed by histopathology to be leiomyomas.

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Section: Discussionmentioning

confidence: 99%

Parasitic myoma as an adnexal mass: unexpected finding after vaginal hysterectomy

Delić

Weber

2016

European Journal of Obstetrics & Gynecology and Reproductiv

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“…8 There are increasing reports of parasitic fibroids being recognized after laparoscopic myomectomy, especially in those cases where tumors are morcellated for removal.…”

Section: Discussionmentioning

confidence: 99%

A rare case of primary parasitic leiomyoma

Sreelatha

Kumar

Nayak

et al. 2013

Int J Reprod Contracept Obstet Gynecol

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We report a rare case of a parasitic fibroid in a 42 year old woman who presented with mass per abdomen and backache. Ultrasound showed a mass suggestive of posterior wall fibroid. Laparotomy revealed a parasitic fibroid densely adherent to the omentum and extending retroperitoneally. Histopathological findings were consistent with leiomyoma. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 422-424

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“…This modified LM method greatly decreased the operating time (97.7 8 27.06 vs. 123 8 38.8 min), which was almost the same as in our study (106.4 8 38.5 min). In 2008, Sinha et al [8] reported on 505 uterine leiomyoma patients treated using this method. The average operating time was 60 min (range 30-270 min) and average blood loss was 90 ml (range 40-2,000 ml).…”

Section: Discussionmentioning

confidence: 99%

Application of Simultaneous Morcellation in situ in Laparoscopic Myomectomy of Larger Uterine Leiomyomas

Zhang

Song

et al. 2011

Med Princ Pract

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Objectives: To describe the efficiency, blood loss, operating time and mean hospital stay of enucleation of a large myoma by ‘simultaneous morcellation in situ’ (SMI) in laparoscopic myomectomy (LM). Patients and Methods: Twenty-six patients with leiomyomas >9 cm in diameter were treated using LM and SMI from January 2006 to December 2009. Patient characteristics and operative data were collected and analyzed. Results: The average operating time was 106.4 ± 38.5 min (range 50–175 min). The average blood loss was 278.2 ± 164.6 ml (range 50–800 ml). There was no other complication, and no patient underwent conversion to laparotomy. The average postoperative hospital stay was 5.4 ± 0.2 days (range 5–7 days). Conclusion: Our study confirmed that SMI is an efficient and safe way to remove large uterine myomas (>9 cm) during LM.

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Laparoscopic Myomectomy: Do Size, Number, and Location of the Myomas Form Limiting Factors for Laparoscopic Myomectomy?

Cited by 143 publications

References 33 publications

Parasitic myoma as an adnexal mass: unexpected finding after vaginal hysterectomy

Parasitic myoma as an adnexal mass: unexpected finding after vaginal hysterectomy

A rare case of primary parasitic leiomyoma

Application of Simultaneous Morcellation in situ in Laparoscopic Myomectomy of Larger Uterine Leiomyomas

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