دورية أكاديمية

Parasitic myoma after laparoscopic morcellation: a systematic review of the literature.

التفاصيل البيبلوغرافية
العنوان: Parasitic myoma after laparoscopic morcellation: a systematic review of the literature.
المؤلفون: Van der Meulen JF; Department of Obstetrics and Gynaecology, Màxima Medical Centre, Veldhoven, the Netherlands., Pijnenborg JM; Department of Obstetrics and Gynaecology, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands., Boomsma CM; Department of Obstetrics and Gynaecology, Bravis hospital, Bergen op Zoom & Roosendaal, the Netherlands., Verberg MF; Department of Obstetrics and Gynaecology, Medisch Spectrum Twente, Enschede, the Netherlands., Geomini PM; Department of Obstetrics and Gynaecology, Màxima Medical Centre, Veldhoven, the Netherlands., Bongers MY; Department of Obstetrics and Gynaecology, Màxima Medical Centre, Veldhoven, the Netherlands.
المصدر: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2016 Jan; Vol. 123 (1), pp. 69-75. Date of Electronic Publication: 2015 Jul 29.
نوع المنشور: Journal Article; Review; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 100935741 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-0528 (Electronic) Linking ISSN: 14700328 NLM ISO Abbreviation: BJOG Subsets: MEDLINE
أسماء مطبوعة: Publication: : Oxford : Wiley-Blackwell
Original Publication: Oxford [England] : Blackwell Science, [2000]-
مواضيع طبية MeSH: Hysterectomy/*adverse effects , Laparoscopy/*adverse effects , Leiomyoma/*pathology , Morcellation/*adverse effects , Uterine Myomectomy/*adverse effects , Uterine Neoplasms/*secondary, Female ; Humans ; Iatrogenic Disease ; Leiomyoma/surgery ; Neoplasm Seeding ; Risk Factors ; Uterine Neoplasms/surgery
مستخلص: Background: Laparoscopic morcellation is frequently used for tissue removal after laparoscopic hysterectomy or myomectomy and may result in parasitic myomas, due to seeding of remained tissue fragments in the abdominal cavity. However, little is known about the incidence and risk factors of this phenomenon.
Objectives: To identify the incidence and risk factors for the development of parasitic myoma after laparoscopic morcellation.
Search Strategy: A systematic review of the literature in Pubmed (MEDLINE) and Embase was conducted. Reference lists of identified relevant articles were checked for missing case reports.
Selection Criteria: Studies reporting on incidence or cases of parasitic myoma diagnosed after laparoscopic morcellation were selected. Studies were excluded when history of laparoscopic morcellation was lacking or final pathology demonstrated a malignancy or endometriosis.
Data Collection and Analysis: Data were extracted and analysed on incidence of parasitic myomas and characteristics of case reports.
Main Results: Fourty-four studies were included. Sixty-nine women diagnosed with parasitic myomas after laparoscopic morcellation were identified. Mean age was 40.8 (± 7.5) years (range 24-57), median time between surgery and diagnosis was 48.0 months (range 1-192) and mean number of parasitic myomas was 2.9 (± 3.3) (range 1-16). The overall incidence of parasitic myomas after laparoscopic morcellation was 0.12-0.95%.
Conclusion: Although the incidence is relatively low, it is important to discuss the risk of parasitic myoma after laparoscopic morcellation with women and balance towards alternative treatment options. The duration of steroid exposure after laparoscopic morcellation might be a risk factor for development of parasitic myomas.
Tweetable Abstract: Systematic review on the incidence and risk factors for parasitic myoma after laparoscopic morcellation.
(© 2015 Royal College of Obstetricians and Gynaecologists.)
التعليقات: Comment in: BJOG. 2016 Jan;123(1):76. (PMID: 26335152)
فهرسة مساهمة: Keywords: Laparoscopic morcellation; parasitic myoma; systematic review
تواريخ الأحداث: Date Created: 20150804 Date Completed: 20160512 Latest Revision: 20181202
رمز التحديث: 20240628
DOI: 10.1111/1471-0528.13541
PMID: 26234998
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-0528
DOI:10.1111/1471-0528.13541