Abstract
Abstract Background: Laparoscopic power morcellation has revolutionized laparoscopic surgery by facilitating removal of large uterine masses through small incisions. Recently, there has been a debate on the use of this technique in view of iatrogenic dissemination of myoma tissue necessitating further medical or surgical interventions. Despite meticulous retrieval of all pieces and thorough irrigation, some fragments can elude detection, giving rise to disseminated peritoneal leiomyomatosis or disseminated sarcoma in an undetected malignancy. These complications could require reintervention and may upstage the disease in sarcoma, which worsens patient prognosis. Cases: This article reports on 2 cases with complications after laparoscopic morcellation. The first patient had port-site recurrence of a leiomyoma, 3 years after laparoscopic hysterectomy for multiple uterine fibroids, when specimen was removed by power morcellation. The second patient underwent laparoscopic myomectomy for fibroid uterus and the...
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