Long-term sequelae of unconfined morcellation during laparoscopic gynecological surgery

Aviad Cohen, Cohen A, Togas Tulandi, Tulandi T
Maturitas · 2016 · vol. 97 , pp. 1–5 · doi:10.1016/j.maturitas.2016.11.007 · PMID:28159054 · W2553324874
review OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-07, 2026-07-29 ⓘ

Unconfined morcellation during laparoscopic gynecological surgery can cause iatrogenic endometriosis, parasitic myoma, disseminated peritoneal leiomyomatosis, and potentially reduced survival rates from occult sarcoma.

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Abstract

Although rare, unconfined morcellation of occult sarcoma has been associated with reduced survival rates. Morcellation of uterus and myoma can also lead to iatrogenic endometriosis, parasitic myoma and, albeit rarely, disseminated peritoneal leiomyomatosis. These benign sequelae of morcellation occur more often than malignant dissemination of sarcomatous tissue. Accordingly, confined morcellation should be performed with a minimally invasive technique while eliminating tissue dissemination inside the abdominal cavity. The ideal technique and device remain to be determined.

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Condition tags

endometriosis

MeSH descriptors

Laparoscopy Leiomyoma Morcellation Uterine Myomectomy Uterine Neoplasms Endometriosis Female Gynecologic Surgical Procedures Humans Laparoscopy Leiomyoma Morcellation Postoperative Complications Risk Factors Uterine Myomectomy Uterine Myomectomy Uterine Neoplasms

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References (55)

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