The management of myoma in women wishing to preserve reproductive function

Precongress Course 3

 Special Interest Group Reproductive Surgery

Course type
Advanced

Course co-cordinators
Tin-Chiu Li (Hong Kong), Antoine Watrelot (France)

Course description
The course focuses on the management of myoma in women wishing to preserve reproductive function, with particular reference to the debate on the risk of morcellation should the myoma turns out to be a leiomyosarcoma. The likelihood of such an occurrence, the possibility of pre-operative diagnosis and the approaches available to minimise the risk of upstaging the disease will be discussed.

Target audience
Specialists or trainees in Reproductive Medicine and Surgery

Myoma is a very common pathology in the uterus encountered in women of the reproductive age group. Laparoscopic myomectomy is increasingly performed even in moderately large fibroids. Very often, the myoma is morcellated prior to removal from the abdominal cavity. However, several recent case reports have raise concerns about the additional risk of morcellation should the fibroid turns out to a leiomyosarcoma. The dilemma is whether or not morcellation of the fibroid should continue to be used in laparoscopic surgery. If not, what may be possible alternative options to morcellation? How does the recognised risk affect surgical practice? The course will enable delegates to better understand the risks involved in morcellation and how the risks may be reduced. The need to adequately counsel our patients on the risk will be discussed. Delegates will also learn about new techniques of tissue retrieval.
Myoma is a very common pathology in the uterus encountered in women of the reproductive age group. Laparoscopic myomectomy is increasingly performed even in moderately large fibroids. Very often, the myoma is morcellated prior to removal from the abdominal cavity. However, several recent case reports have raise concerns about the additional risk of morcellation should the fibroid turns out to a leiomyosarcoma. The dilemma is whether or not morcellation of the fibroid should continue to be used in laparoscopic surgery. If not, what may be possible alternative options to morcellation? How does the recognised risk affect surgical practice? The course will enable delegates to better understand the risks involved in morcellation and how the risks may be reduced. The need to adequately counsel our patients on the risk will be discussed. Delegates will also learn about new techniques of tissue retrieval.

Programme