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  • Title: Retained myoma after laparoscopic supracervical hysterectomy with morcellation.
    Author: Hutchins FL, Reinoehl EM.
    Journal: J Am Assoc Gynecol Laparosc; 1998 Aug; 5(3):293-5. PubMed ID: 9668153.
    Abstract:
    Laparoscopic myomectomy and, more recently, laparoscopic supracervical hysterectomy are practical alternatives to traditional surgical management of uterine fibroids. With the advent of mechanical morcellation these procedures are now much more feasible. A 6-cm fibroid was lost at the time of laparoscopic-assisted supracervical hysterectomy and caused persistent, severe abdominal pain over the next 3 weeks. The fibroid was lodged in the region of the liver and gallbladder and required removal by laparotomy. Although retention of fibroids after operative laparoscopy has been reported, it has not been associated with complications. Technical alternatives at the time of operative laparoscopy involving morcellation should be considered to prevent this event.
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