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Review Article
Online Published: 20 Aug 2024
 


Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review

Ziyad M. Alyami, Wael A. Alsaleh, Kawakeb Mohammed Daraj, Mohammed Saleh Mohammed Alonazi, Saad Khaleel Alonze, Latifah Awadh Alotaibi.


Abstract
The Food and Drug Administration released a safety communication in 2014 advising physicians not to do laparoscopic power morcellation for myomectomy, hysterectomies, or the removal of uterine fibroids. The purpose of this study was to ascertain how morcellation affected the survival rates (SRs) of patients with uterine sarcoma who had myomectomy or hysterectomy. The Web of Science, PubMed, Embase, and Scopus databases were searched for publications that had been published between the years 2003 and 2024. It aimed to find all original English-language studies comparing the outcomes between patients with uterine morcellation following laparoscopic myomectomy or hysterectomy and those without. A total of seven studies were included in this review. In most of the included studies, the group that underwent morcellation included patients undergoing laparoscopic, open abdominal, vaginal, and hysteroscopic surgery. In contrast, the group without morcellation consisted of all patients undergoing open abdominal surgery. Patients who had uterine morcellation were more likely to experience tumor metastases than those in the group without morcellation. The rate of reoperations was higher in patients who had morcellation than those who did not. Overall, five studies found that morcellation deteriorated outcomes, whereas the other two found no significant difference between morcellation and non-morcellation. The available evidence indicated that in patients with uterine sarcomas, morcellation increases the risk of intra-abdominal and total recurrences but not the risk of extra-abdominal recurrences. Nevertheless, a link was found between morcellation and reduced SRs.

Key words: morcellation, uterine sarcoma, myomectomy, laparoscopic, systemic review


 
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How to Cite this Article
Pubmed Style

Alyami ZM, Alsaleh WA, Daraj KM, Alonazi MSM, Alonze SK, Alotaibi LA. Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. IJMDC. 2024; 8(8): 2136-2142. doi:10.24911/IJMDC.51-1719634224

Web Style

Alyami ZM, Alsaleh WA, Daraj KM, Alonazi MSM, Alonze SK, Alotaibi LA. Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. https://www.ijmdc.com/?mno=207516 [Access: January 23, 2025]. doi:10.24911/IJMDC.51-1719634224

AMA (American Medical Association) Style

Alyami ZM, Alsaleh WA, Daraj KM, Alonazi MSM, Alonze SK, Alotaibi LA. Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. IJMDC. 2024; 8(8): 2136-2142. doi:10.24911/IJMDC.51-1719634224


Vancouver/ICMJE Style

Alyami ZM, Alsaleh WA, Daraj KM, Alonazi MSM, Alonze SK, Alotaibi LA. Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. IJMDC. (2024), [cited January 23, 2025]; 8(8): 2136-2142. doi:10.24911/IJMDC.51-1719634224


Harvard Style

Alyami, Z. M., Alsaleh, . W. A., Daraj, . K. M., Alonazi, . M. S. M., Alonze, . S. K. & Alotaibi, . L. A. (2024) Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. IJMDC, 8 (8), 2136-2142. doi:10.24911/IJMDC.51-1719634224


Turabian Style

Alyami, Ziyad M., Wael A. Alsaleh, Kawakeb Mohammed Daraj, Mohammed Saleh Mohammed Alonazi, Saad Khaleel Alonze, and Latifah Awadh Alotaibi. 2024. Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. International Journal of Medicine in Developing Countries, 8 (8), 2136-2142. doi:10.24911/IJMDC.51-1719634224


Chicago Style

Alyami, Ziyad M., Wael A. Alsaleh, Kawakeb Mohammed Daraj, Mohammed Saleh Mohammed Alonazi, Saad Khaleel Alonze, and Latifah Awadh Alotaibi. "Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review." International Journal of Medicine in Developing Countries 8 (2024), 2136-2142. doi:10.24911/IJMDC.51-1719634224


MLA (The Modern Language Association) Style

Alyami, Ziyad M., Wael A. Alsaleh, Kawakeb Mohammed Daraj, Mohammed Saleh Mohammed Alonazi, Saad Khaleel Alonze, and Latifah Awadh Alotaibi. "Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review." International Journal of Medicine in Developing Countries 8.8 (2024), 2136-2142. Print. doi:10.24911/IJMDC.51-1719634224


APA (American Psychological Association) Style

Alyami, Z. M., Alsaleh, . W. A., Daraj, . K. M., Alonazi, . M. S. M., Alonze, . S. K. & Alotaibi, . L. A. (2024) Uterine sarcoma post laparoscopic myomectomy using morcellation; systematic review. International Journal of Medicine in Developing Countries, 8 (8), 2136-2142. doi:10.24911/IJMDC.51-1719634224




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