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Minimal Invasive Myomectomy with Morcellation for Giant Myoma: A Challenge or a Questionable Approach?

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초록

This study aimed to discuss the possible role of morcellation for a giant myoma in the minimal invasive approach. Current literature, including U.S. Food and Drug Administration guidelines, was reviewed. We found that safety of morcellation for a giant myoma is questionable. The risk and benefits of morcellation as well as alternative treatment options should be discussed with each individual patient.

Abstract

This study aimed to discuss the possible role of morcellation for a giant myoma in the minimal invasive approach. Current literature, including U.S. Food and Drug Administration guidelines, was reviewed. We found that safety of morcellation for a giant myoma is questionable. The risk and benefits of morcellation as well as alternative treatment options should be discussed with each individual patient.

참고문헌 (9)

  1. Hye Gyeong Jeong, "The Largest Uterine Leiomyoma Removed by Robotic- Assisted Laparoscopy in the Late Reproductive Age: A Case Report", 대한폐경학회지, 27(1), pp.37~41 (2021), 대한폐경학회[DOI]
  2. Wallace K, "Comparative effectiveness of hysterectomy versus myomectomy on one-year health-related quality of life in women with uterine fibroids", Fertil Steril, 113, pp.618~626 (2020)
  3. Cusimano MC, "Practice variation in bilateral salpingo-oophorectomy at benign abdominal hysterectomy : a population-based study", Am J Obstet Gynecol, 224, pp.585~ (2021)
  4. "Laparoscopic Uterine Power Morcellation in Hysterectomy and Myomectomy: FDA Safety Communication" (2014)[URL]
  5. Aksoy H, "Successful use of laparoscopic myomectomy to remove a giant uterine myoma : a case report", J Med Case Rep, 9, pp.286~ (2015)
  6. Einstein MH, "Management of uterine malignancy found incidentally after supracervical hysterectomy or uterine morcellation for presumed benign disease", Int J Gynecol Cancer, 18, pp.1065~1070 (2008)
  7. Karamveri C, "Cytoreductive surgery in combination with HIPEC in the treatment of peritoneal sarcomatosis", Indian J Surg Oncol, 10, pp.40~45 (2019)
  8. Taşkın S, "Morcellation in gynecology : short review and suggestions from Turkish Society of Minimally Invasive Gynecologic Oncology", J Turk Ger Gynecol Assoc, 22, pp.53~57 (2021)
  9. American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice, "Uterine morcellation for presumed leiomyomas : ACOG committee opinion, number 822", Obstet Gynecol, 137, pp.e63~e74 (2021)

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