title: Disseminated intravascular coagulation after laparoscopic multiple myomectomy with use of icodextrin: a case report.
abstract: Uterine leiomyomas are by far the most common benign genital tumors. The prevalence rates vary from 20% to 50%. Myomectomy is a standard surgical treatment and is prescribed for patients who wish to preserve their fertility. The laparoscopic approach allows a shorter hospital stay, faster recovery, less intraoperative blood loss, less postoperative pain, and possibly fewer adhesions than abdominal myomectomy when performed by skilled surgeons. Myomectomy is associated with the risk of excessive blood loss and adhesions formation. Reports of disseminated intravascular coagulation complicating this type of surgery are rare, and no prior cases have been reported in the literature after the use of 4% icodextrin. Randomized trials support the use of absorbable adhesion barriers to reduce adhesion formation. A case of disseminated intravascular coagulation after laparoscopic multiple myomectomy with the use of 4% icodextrin solution is described.
authors.affiliation: Department of Obstetrics and Gynecology CMCO-SIHCUS, Strasbourg, France. leonorsantos@yahoo.com
authors.forename: Leonor M
authors.initials: LM
authors.lastname: Santos
authors.forename: Virginia
authors.initials: V
authors.lastname: Frenna
authors.forename: Véronique
authors.initials: V
authors.lastname: Thoma
authors.forename: Arnaud
authors.initials: A
authors.lastname: Wattiez
mesh_terms: D000328:Adult; D015314:Dialysis Solutions / Q000009:adverse effects*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D005260:Female; D005936:Glucans / Q000009:adverse effects*; D005947:Glucose / Q000009:adverse effects*; D006801:Humans; D000077607:Icodextrin; D010535:Laparoscopy / Q000009:adverse effects*; D018231:Leiomyomatosis / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*
chemical_list: D015314:Dialysis Solutions; D005936:Glucans; D000077607:Icodextrin; D005947:Glucose