Uterine fibroids are the most common benign tumors occurring in 20 - 50% women in the reproductive age group. Laparoscopic myomectomy offers many advantages compared to open abdominal surgery. Two Most dreaded complication of Laparoscopic myoma morcellation are the risk of potential leiomyosarcoma ( LMS) in a fibroid and Disseminated peritoneal leiomyomatosis (DPL). Our selection of cases was based on “Manchanda’s Endoscopic Centre (MEC) Ultrasonographic leiomyosarcoma risk scoring system” and normal LDH 3 levels, that eliminated the risk of harbouring leiomyosarcoma in myomectomy specimen. Further, we performed “In bag” morcellation for all the cases that reduced the risk of DPL to zero. However we recommend delayed suture removal at morcellator port site, as multiple handling at this port may hamper blood supply and requires prolonged approximation.
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2022: 6.012
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