Surgical cytoreduction for disseminated benign disease after open power uterine morcellation

Amanda Ramos, Amanda N. Fader, Kara Long Roche

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)99-102
Number of pages4
JournalObstetrics and gynecology
Volume125
Issue number1
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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