Retained fragments after total laparoscopic hysterectomy.
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.
LaCoursiere
D Yvette
DY
University of Utah, Department of Obstetrics and Gynecology, Salt Lake City, Utah4132-2209, USA.
Kennedy
John
J
Hoffman
Clement P
CP
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D007889:Leiomyoma / Q000473:pathology*; D011183:Postoperative Complications / Q000473:pathology*; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery; D014599:Uterus / Q000473:pathology*