Erenel Hakan, Temizkan Osman, Mathyk Begüm Aydoğan, Karataş Suat
Clinic of Obstetrics and Gynecology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
J Turk Ger Gynecol Assoc. 2015 Jul 14;16(3):181-6. doi: 10.5152/jtgga.2015.15242. eCollection 2015.
The aim of this review is to summarize the cases of parasitic myomas after laparoscopic surgery. A literature search was performed using the PubMed database for the period of January 1997 to December 2014. We used the following keywords: "laparoscopic hysterectomy," "laparoscopic myomectomy," "morcellation," "parasitic fibroids," "parasitic myomas," and "leiomyomatosis." A total of 29 articles meeting the selection criteria were included in our review, describing 53 patients who underwent surgery for parasitic myomas. Parasitic myoma is a rare condition resulting from the small fibroid fragments left after morcellation and can be either asymptomatic or symptomatic. Although it is rare, patients should be informed about the risk of this condition after laparoscopic surgery. It is important for surgeons to look for small fibroid fragments during and after morcellation and make an effort to remove every piece of tissue.
本综述的目的是总结腹腔镜手术后寄生性肌瘤的病例。利用PubMed数据库对1997年1月至2014年12月期间的文献进行检索。我们使用了以下关键词：“腹腔镜子宫切除术”、“腹腔镜肌瘤切除术”、“碎瘤术”、“寄生性纤维瘤”、“寄生性肌瘤”和“平滑肌瘤病”。共有29篇符合选择标准的文章纳入我们的综述，描述了53例接受寄生性肌瘤手术的患者。寄生性肌瘤是碎瘤术后残留的小肌瘤碎片导致的一种罕见病症，可能无症状，也可能有症状。尽管罕见，但仍应告知患者腹腔镜手术后发生这种情况的风险。外科医生在碎瘤术期间及术后查找小肌瘤碎片并努力清除每一块组织非常重要。
