Parasitic myomas after laparoscopic myomectomy: case report.

Fertil Steril

Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, New York, USA.

Published: March 2009

Objective: To report a case of a woman who presented with parasitic myomas 27 months after laparoscopic myomectomy.

Design: Case report.

Setting: University medical center.

Patient(s): A 31-year-old G0 woman who had a previous history significant for laparoscopic myomectomy with morcellation 27 months before.

Intervention(s): Repeat laparoscopic myomectomy and review of video footage from previous myomectomy.

Main Outcome Measure(s): Pathology report.

Result(s): Repeat laparoscopic examination revealed two pedunculated and two parasitic myomas. Review of video footage from initial surgery revealed pieces of myoma dispersed within pelvis during morcellation.

Conclusion(s): Pieces of initial myoma dispersed within the pelvis during morcellation may have developed into parasitic myomas.

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Source
http://dx.doi.org/10.1016/j.fertnstert.2008.08.014DOI Listing

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Article Synopsis
  • * The innovative combination was aimed at improving surgical outcomes by providing better identification of myomas, reducing operation times, and minimizing blood loss during the surgery.
  • * The intervention successfully resulted in the removal of 15 myomas with a total operative time of 120 minutes and low blood loss, showcasing the effectiveness of this advanced surgical approach.
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