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Review Case Reports
Disseminated peritoneal leiomyomatosis: a devastating sequelae of unconfined laparoscopic morcellation.
- Hwee Leong Tan, Ye Xin Koh, Min Hoe Chew, Junjie Wang, Jason Shau Khng Lim, Wei Qiang Leow, and Ser Yee Lee.
- Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
- Singap Med J. 2019 Dec 1; 60 (12): 652-654.
AbstractThere has been growing concern surrounding the use of unconfined power morcellation in laparoscopic surgeries for uterine leiomyoma due to its associated risks and long-term clinical sequelae, including parasitic leiomyomas and disseminated peritoneal leiomyomatosis (DPL). We present a case of DPL resulting from previous laparoscopic morcellation and a review of the existing literature. DPL is a potentially devastating consequence of unconfined laparoscopic morcellation in the surgical management of uterine fibroids. A multidisciplinary approach is recommended in the management of DPL, especially in cases of multivisceral involvement. Clinical caution ought to be exercised when using power morcellators; when unavoidable, confined laparoscopic morcellation offers a promising mitigation and should be adopted if practicable.Copyright: © Singapore Medical Association.
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