Iatrogenic endometriosis caused by uterine morcellation during a supracervical hysterectomy
Abstract
BACKGROUND: Iatrogenic endometriosis is a rare complication associated with laparoscopic supracervical hysterectomy. CASE: A parous woman in her 30s underwent a laparoscopic supracervical hysterectomy for a leiomyomatous uterus. The uterus was amputated and removed from the abdominal cavity with an electric morcellator. She presented 6 months later complaining of cyclic pelvic pain. Diagnostic laparoscopy revealed endometrial implants in the pelvis. A laparoscopic trachelectomy, left salpingo-oophorectomy, and excision of endometrial implants was performed. She has since remained without symptoms. CONCLUSION: Spillage and implantation of viable endometrial tissue might occur during uterine morcellation during laparoscopic supracervical hysterectomy. This case emphasizes the importance of minimizing spillage and vigorous irrigation of the abdomen and pelvis before closing the incisions.
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Utilization of automatic morcellators does not provide complete immunity to inadvertent inoculation.
“Even the utilization of automatic morcellators, however, does not provide complete immunity to inadvertent inoculation as described by Sepilian's group,18”
From Large Abdominal Wall Endometrioma Following Laparoscopic Hysterectomy (2011) · cites this paper as [18]
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References 9 · Cited by 79
- Authors
- SEPILIAN, V
- Affiliations
- Drexel University (US)
- Corresponding author
- SEPILIAN, V
- Venue
- Obstetrics & Gynecology
- Published
- 2003-11
- Volume
- 102
- Issue
- 5
- Pages
- 1125-1127
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2042160296
- Cited by
- 79
- References
- 9
- Citations by year
- 2023: 2 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 4 · 2016: 8 · 2015: 11 · 2014: 11 · 2013: 10 · 2012: 5
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- iatrogenic endometriosis, uterine morcellation, laparoscopic supracervical hysterectomy, morcellator, endometrial implantation, uterine fibroids, cyclic pelvic pain, salpingo-oophorectomy, postoperative complications
- MeSH terms
- Adult, Endometriosis, Female, Humans, Hysterectomy, Leiomyoma, Laparoscopy, Uterine Neoplasms
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