Retained fragments after total laparoscopic hysterectomy

In: Journal of Minimally Invasive Gynecology · 2005 · vol. 12(1) , pp. 67–69 · doi:10.1016/j.jmig.2004.12.021 · PMID:15904602 · W2037148243
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A woman who underwent total laparoscopic hysterectomy developed pelvic pain and dyspareunia due to retained uterine and cervical fragments, highlighting potential sequelae of laparoscopic morcellation.

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Abstract

A 36-year-old woman had a history of worsening menorrhagia, refractory to medical therapy. She underwent a total laparoscopic hysterectomy. Postoperatively, she experienced significant dyspareunia, dysuria, and pelvic pain. Ten months after her initial procedure, laparoscopy revealed several parasitized fragments of uterine and cervical origin in the pelvis. As laparoscopic morcellation is performed with increased frequency, the need to understand its sequelae has also increased. A concern of morcellating tissue within the abdomen is the fate of fragments inadvertently left behind.

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