Utilization of morcellation during laparoscopic surgery of uterine fibroid: yes or not?

Использовать морцеллятор во время лапароскопической операции при миоме матки: да или нет?
Balkenzhe Imankulova 1, Talshyn Ukubassova 1
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1 Women's Health Unit, National Science Center for Maternity and Child Health CF "University Medical Center", Astana, Kazakhstan
J CLIN MED KAZ, Volume 3, Issue 45 special issue, pp. 25-28. https://doi.org/10.23950/1812-2892-JCMK-00477
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ABSTRACT

Objective. The study of the need for a differentiated approach to morphology during laparoscopic myomectomy and hysterectomy, for the prevention of the spread of an undiagnosed malignant process.
Methods. The retrospective analysis 134 operations of a myomektomiya and a hysterectomy which are carried out in National scientifc center of Maternity and the Child Health in 2014 and 2015, where in one case the high-differentiated adenocarcinoma is noted after a laparotomy aproch total hysterectomy with ovarium and tubs is carried out.
Results. Recommendations are given for conducting a total hysterectomy and extraction of the uterus through the vagina and use of endobago during the fermentation of myomatous nodes to prevent the spread of malignant processes.
Conclusion. It is advisable to support the recommendations of the American Collegium of Obstetricians and Gynecologists, the European Society for Gynecological Endoscopy and the American Society of Gynecological Laparoscopy on the oncologic alertness of using a morphator during laparoscopic surgery for uterine myomas.
Keywords: uterine fibroid, hysterectomy, myomectomy, morcelator

CITATION

Imankulova B, Ukubassova T. Utilization of morcellation during laparoscopic surgery of uterine fibroid: yes or not?. Journal of Clinical Medicine of Kazakhstan. 2017;3(45 special issue):25-8. https://doi.org/10.23950/1812-2892-JCMK-00477

REFERENCES

  • Baird, D.D., Dunson, D.B., Hill, M.C., Cousins, D., Schectman, J.M.High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. J Obstet Gynecol. 2003;188: 100–107.
  • Health Сanada.Laparoscopic electric morcellators – risk of spread of unsuspected uterine sarcoma – notice to hospitals. Ottawa. Health Canada; 2014.
  • Tikhomirov A.L., Manukhina E.I., VuchenovichYu.D., Kazenashev V.V., Bgazhnokova M.V. Miomamatkidifferentsirovannyil echebnyipodkhod (Uterine fibroids differentiated treatment approach). Moskva; 2015.84
  • Savel'eva G.M. Laparoskopiya v ginekologii (Laparoscopy in gynecology). Moskva: GEOTAR Meditsina; 1999.
  • Нampton T. Critics of Fibroid Removal Procedure Question Risks it May Pose for Women with Undetected Uterine Cancer. Journal of the American Medical Association (JAMA) 2014; 311( 9): 891-893.
  • Milad, M., Milad E.L aparoscopic morcellator-related complications. J minim Invas Gynecol. 2014;21: 486–491.
  • Sizzi, O., Rossetti, A., Malzoni, M., Minelli, L.Italian multicenter study on complications of laparoscopic myomectomy. J minim Invasive Gynecol, 2007; 14: 453–462.
  • Cucinella, G., Granese, R., Calagna, G., Somigliana, E., Perino.Parasitic myomas after laparoscopic surgery: an emerging complication in the use of morcellator? description of four cases. FertilSteril. 2011; 96: 90–96.
  • Ordulu, Z., Dal Cin, P., Chong, W.W.S., Choy, K.W.Disseminated peritoneal leiomyomatosis after laparoscopic supracervical hysterectomy with characteristic molecular cytogenetic findings of uterine leiomyoma.Genes chromosomes cancer, 2010;49: 1152–1160.
  • Sinha, R., Sundaram, M., Mahajan, C., Sambhus, A.Multiple leiomyomas after laparoscopic hysterectomy: report of two cases. J minim Invasive Gynecol, 2007;14: 123–127.
  • Sinha, R., Sundaram, M., Lakhotia, S.Recurrentleiomyomatosis.J minim Invas Gynecol. 2009; 16: 668.
  • Ribic-Pucelj, M., Cvjeticanin, B., Salamun, V.Leiomyomatosisperitonealisdisseminata as a possible result of laparoscopic myomectomy – report of four cases. Gynecol Surg. 2013;10: 253–256.
  • 26(9):2513-2517.
  • D’adomo, PJ. Eat Right For Your Type. Putnam Adult. (1997-01-06). ISBN 978-0399142550.
  • Cusack L, De buck E, Compernolle V, Vandekerckhove P. Blood typedietslacksupportingevidence: a systematicreview. Am J ClinNutr. 2013; 98(1):99-104.
  • Mıtra R, Mıshra N, Rath GP. Blood groups systems. Indian J Anaesth. 2014; 58(5):524-528.
  • Rossi A, DI Lollo AC, Guzzo MP, Gıacomelli C, Atzeni , Bazzichi, et al. Fibromyalgia and nutrition: what news?. Clin Exp Rheumatol. 2015; 33(1;88):117-125
  • Arranz LI, Canela MA, Rafecas M. Fibromyalgia and nutrition, what do we know?. Rheumatol Int. 2010; 30(11):1417-1427
  • Buskila D, Neumann L. Genetics of fibromyalgia. Curr Pain Headache Rep. 2005; 9(5):313-315.