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Surgical Cytoreduction for Disseminated Benign Disease After Open Power Uterine Morcellation

Ramos, Amanda, MD; Fader, Amanda N., MD; Long Roche, Kara, MD

doi: 10.1097/AOG.0000000000000549
Contents: Case Report
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BACKGROUND: Uterine morcellation is a technique used in gynecologic surgery to facilitate a laparoscopic approach to the removal of an enlarged uterus. The safety of this technique has been a source of recent debate, as uterine morcellation can result in the intraperitoneal dissemination of undiagnosed uterine malignancies.

CASES: We report on three women who previously underwent minimally invasive hysterectomy and open power morcellation for benign disease, who subsequently presented with peritoneal implants highly suspicious for malignancy. Each woman required a laparotomy and extensive, multiorgan resection to clear the disease. Benign pathology was diagnosed in all cases.

CONCLUSION: Even in the setting of benign conditions, open power morcellation of the uterus may be associated with clinically significant dissemination of uterine disease.

Open power morcellation of the uterus may result in the dissemination of benign disease, mimicking the presence of malignant disease and necessitating massive debulking surgical procedures.

Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland.

Corresponding author: Kara Long Roche, MD, 600 N. Wolfe St, Ste 281, Baltimore, MD 21287; e-mail: klong20@jhmi.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.