Impact of Power Morcellation and Histopathological Subtypes on the Development of Peritoneal Leiomyomatosis Following Laparoscopic Myomectomy

Key Points

• Peritoneal leiomyomatosis occurs more frequently with unconfined morcellation than confined methods, indicating a significant surgical risk.
• Patients diagnosed with cellular leiomyoma require long-term follow-up due to the potential for severe complications, especially after unconfined morcellation.
• Histopathological subtype classification aids in assessing risk for developing peritoneal leiomyomatosis after laparoscopic myomectomy.
• Adopting confined morcellation techniques could potentially reduce the incidence of this rare but serious complication.