Hysteroscopic myomectomy

Clinical Review

Abstract

Hysteroscopic treatment of submucous myomas is a safe and effective treatment in patients presenting with abnormal uterine bleeding and subfertility. Resection of fibroids can be performed with the assistance of monopolar or bipolar energy, hysteroscopic scissors or by applying yttrium aluminium garnet (Nd:YAG) laser. Modern resectoscopic techniques have expanded treatment options for these patients. Before surgery, the size, number, localization and intramural extent should be determined by hysteroscopy and/or sonohysterography to be able to ascertain the possibilities for resection and the technique to be used. Appropriate patient preparation will make the operation easier and reduce complication rates. There is a greater chance of successful procedure with the smaller proportion of the myoma within the myometrium. Long-term results have shown high satisfaction rates with improved menstrual symptoms and pregnancy rates. Pre-operative counseling and accurate documentation is essential. When complications do occur, it is rarely required to have prompt diagnosis and immediate treatment.

Keywords

Hysteroscopy Myomectomy Endoscopic resection 

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Copyright information

© European Board and College of Obstetrics and Gynaecology 2007

Authors and Affiliations

  1. 1.ThessalonikiGreece
  2. 2.First Academic Department of Obstetrics and GynaecologyAristotle University of Thessaloniki, Papageorgiou General HospitalThessalonikiGreece

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