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      Recurrence of uterine tissue residues after laparoscopic hysterectomy or myomectomy.

      case-report

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          Abstract

          Objective: To report a new complication after laparoscopic surgery i.e recurrence of endometrium and leiomyoma fragments from uterine tissue residues after laparoscopic hysterectomy or laparoscopic myomectomy.

          Methods : This study was carried out on three patients with the recurrence of endometrium or leiomyoma fragments from tissue residues after laparoscopic hysterectomy or laparoscopic myomectomy in the First Affiliated Hospital, Yangtze University, China. We also explored the possible reasons and corresponding preventative strategies.

          Results: Small residues of endometrium and leiomyoma fragments could implant into normal tissue anywhere in the peritoneal cavity after laparoscopic myomectomy or laparoscopic hysterectomy.

          Conclusion: These cases emphasize the importance of removing every single fragment to prevent the recurrence of endometrium and leiomyoma from tissue residues.

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          Parasitic leiomyoma in the abdominal wall after laparoscopic myomectomy.

          Hwa Moon, Ja Koo, Sea Hee Park … (2008)
          To report a case of parasitic leiomyoma of the abdominal wall after laparoscopic myomectomy. Case report. Large medical center. A 31-year-old woman with a newly developed palpable mass in the abdominal wall near the trocar site of a previous laparoscopic myomectomy. Excision of the mass. Histopathologic examination of the mass. A mass measuring 3.2 x 2.2 x 2.0 cm was excised. The lesion was located in the subfascial area of the abdominal wall, near the trocar site of a previous laparoscopic myomectomy. Histopathologic examination confirmed leiomyoma. This result shows that myoma fragments sometimes are found to be scattered in the abdominal cavity after laparoscopic myomectomy, suggesting that all myoma fragments, however small they may be, must be completely removed.
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            Parasitic peritoneal leiomyomatosis diagnosed 6 years after laparoscopic myomectomy with electric tissue morcellation: report of a case and review of the literature.

            Akihiro Takeda, Masahiko Mori, Kotaro Sakai … (2015)
            A 33-year-old woman, gravid 2 para 2, underwent laparoscopic myomectomy with electric tissue morcellation for intraligamental myoma. Six years later, asymptomatic pelvic tumor was found during a routine checkup. Under laparoscopic observation, multiple soft tumors were detected in the peritoneal cavity and these tumors were successfully excised by a laparoscopic-assisted procedure. Pathological examination demonstrated that these tumors were progesterone receptor-positive leiomyomas that were almost identical histologically to the myoma tissue excised 6 years earlier.
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              Parasitic Myoma After Morcellation

              Rakesh Sinha, Alagappan Sundaram, Smita Lakhotia … (2009)
              We report an interesting case of parasitic fibroid which developed from a morcellation remnant following laparoscopic myomectomy. The patient presented with incidental finding of pelvic mass in 2005. She underwent laparoscopic myomectomy for a myoma extending from the Pouch of Douglas to both sides of broad ligament. She subsequently presented with abdominal pain 3 years later in 2008. She underwent total laparoscopic hysterectomy with removal of broad ligament fibroids. During her hysterectomy, a right lumbar mass attached to the omentum was detected, which was excised laparoscopically. Histopathology of the mass confirmed it to be consistent with leiomyoma. This mass could probably be a morcellation remnant that has grown to this size taking blood supply from the omentum. We report this case to emphasize that all tissue pieces that are morcellated should be diligently removed. Even small bits displaced into the upper abdomen can result in parasitic fibroids. Thus, it can be concluded that parasitic myomas can arise from morcellated remnants and grow depending on the blood supply.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pak J Med Sci
                Journal ID (iso-abbrev): Pak J Med Sci
                Journal ID (publisher-id): PJMS
                Title: Pakistan Journal of Medical Sciences
                Publisher: Professional Medical Publicaitons (Karachi, Pakistan )
                ISSN (Print): 1682-024X
                ISSN (Electronic): 1681-715X
                Publication date (Print): Sep-Oct 2014
                Volume: 30
                Issue: 5
                Pages: 1134-1136
                Affiliations
                [1 ] Cunjian Yi, MD, PhD , Department of Obstetrics and Gynecology, First Affiliated Hospital, Yangtze University, Jingzhou, Hubei Province 434000, P.R. China.
                [2 ] Li Li, MD, Department of Obstetrics and Gynecology, First Affiliated Hospital, Yangtze University, Jingzhou, Hubei Province 434000, P.R. China.
                [3 ] Xiaowen Wang, MD , Department of Obstetrics and Gynecology, First Affiliated Hospital, Yangtze University, Jingzhou, Hubei Province 434000, P.R. China.
                [4 ] Xiangqiong Liu , MD, Department of Obstetrics and Gynecology, First Affiliated Hospital, Yangtze University, Jingzhou, Hubei Province 434000, P.R. China.
                Author notes
                Correspondence: Xiangqiong Liu, Professor, Department of Obstetrics and Gynecology, First Affiliated Hospital, Yangtze University, 8 Hangkong Road, Jingzhou 434000, Hubei, P.R. China. E-mail: cunjiany@163.com
                Article
                DOI: 10.12669/pjms.305.4509
                PMC ID: 4163247
                SO-VID: bfeb7274-9c14-4090-89ae-52ac1bbfbea5
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 20 October 2013
                Date revision received : 4 November 2013
                Date accepted : 25 June 2013
                Categories
                Subject: Clinical Case Series

                Keywords: tissue residues,laparoscopic myomectomy,laparoscopic hysterectomy; laparoscopic complications
                Data availability:
                Keywords: tissue residues, laparoscopic myomectomy, laparoscopic hysterectomy; laparoscopic complications

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