46: Laparoscopic resection of leiomyomatosis peritonealis disseminata

Abstract

The objective of this video is to demonstrate laparoscopic resection of leiomyomatosis peritonealis disseminata, a rare condition, and reviews preoperative considerations as well as intraoperative advanced dissection techniques that can be utilized. Leiomyomatosis peritonealis disseminata (LPD) is a rare condition that can occur in prior cases of uncontained morcellation. This video shows course of management for the patient diagnosed with LPD, which initially started when she started experiencing pelvic pain years after her prior hysterectomy with uncontained power morcellation. In the images obtained by CT and MRI showed multiple solid pelvic masses on bilateral pelvic side walls close to critical anatomic structures. Intraoperatively, a sound understanding of pelvic anatomy and advanced laparoscopic techniques were needed to assist in removal of these parasitic masses. Leiomyomatosis peritonealis disseminata is a rare condition that can be treated safely laparoscopically with appropriately applied surgical techniques.