title: Parasitic myomas after laparoscopic surgery: an emerging complication in the use of morcellator? Description of four cases.
abstract: OBJECTIVE
  To report the development of parasitic myomas after the use of a morcellator.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary care referral center for the treatment of benign gynecologic pathologies.
  
  
  METHODS
  Women undergoing surgery for uterine fibroids.
  
  
  METHODS
  Chart review.
  
  
  METHODS
  Presence of parasitic leiomyomas.
  
  
  RESULTS
  We identified four cases of parasitic myomas over the 3-year study period. Two out of the four were symptomatic. The prevalence of this complication, considering all women with whom the electric morcellator was used (n = 423) was 0.9% (95% CI, 0.3-2.2%). Considering exclusively the women who underwent myomectomy (n = 321), it was 1.2% (95% CI, 0.4-2.9%).
  
  
  CONCLUSIONS
  Laparoscopic myomectomy with the use of a morcellator is associated with an increased risk of developing of parasitic myomas. A thorough inspection and washing of the abdominopelvic cavity at the end of the surgery should be performed to prevent this rare complication.
authors: Department of Obstetrics and Gynaecology, University Hospital "Paolo Giaccone," Palermo, Italy.
authors: Gaspare
authors: G
authors: Cucinella
authors: Roberta
authors: R
authors: Granese
authors: Gloria
authors: G
authors: Calagna
authors: Edgardo
authors: E
authors: Somigliana
authors: Antonio
authors: A
authors: Perino
mesh_terms: D000328:Adult; D001706:Biopsy; D004867:Equipment Design; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000009:adverse effects* / Q000295:instrumentation; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009366:Neoplasm Seeding; D010534:Peritoneal Neoplasms / Q000556:secondary*; D012189:Retrospective Studies; D013525:Surgical Instruments / Q000009:adverse effects*; D013997:Time Factors; D014594:Uterine Neoplasms / Q000556:secondary / Q000601:surgery*