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Table 8 Statements and options on preventing parasitic fibroids after morcellation

From: Options on fibroid morcellation: a literature review

Statements and options

Grade

The small risk of parasitic fibroid with laparoscopic morcellation (<1 %) should be discussed with the patient and balanced against alternative treatment options

Good practice point

Avoid spread of cells and tissue fragments in the abdominal cavity by stabilising the specimen and prevent fast rotation

Good practice point

When morcellation is used, efforts should be made to prevent tissue loss during morcellation and to remove all tissue fragments after morcellation:

Place the patient in reverse Trendelenburg position after morcellation and irrigate the abdomen and pelvis extensively

After irrigation of the peritoneal cavity the abdomen and pelvis should be inspected to identify any remaining tissue fragments

Good practice point

The potential increased risk of parasitic fibroids after sex steroid exposure (endogenous/exogenous) after laparoscopic morcellation should be considered before hormonal replacement therapy is prescribed

D