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Hysteroscopy pp 363-374 | Cite as

Hysteroscopic Myomectomy Respecting the Pseudocapsule: The Cold Loop Hysteroscopic Myomectomy

  • Ivan Mazzon
  • Alessandro Favilli
  • Vittorio Villani
  • Sandro Gerli
Chapter

Abstract

Myomas, also called leiomyomas or fibroids, are benign, monoclonal tumors of the smooth muscle cells of the myometrium, widely considered as the most common of the female reproductive tract. Myomas can be responsible for pelvic pain, abnormal uterine bleeding, and infertility. Although more than 50% of fibroids are asymptomatic, the submucous myomas are associated with the most severe symptomatology. The advent of endoscopy in the gynecologic surgery revolutionized the treatment of submucous myomas, introducing a viable uterine-sparing alternative to hysterectomy. In the last four decades, several techniques have been described to perform hysteroscopic myomectomy. The hysteroscopic myomectomy should be a simple, well-tolerated and effective procedure. The cold loop technique, preferably accomplished in only one surgical procedure, seems to be the best option in the treatment of submucous myomas. Such technique, conceived in 1995, for the first time allowed to overcome the limits represented by the classical slicing technique and still today ensures a safe and effective myometrial sparing treatment of submucous myomas.

Keywords

Uterine fibroid Myoma pseudocapsule Cold loop myomectomy Hysteroscopy Fertility Reproductive surgery 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Ivan Mazzon
    • 1
  • Alessandro Favilli
    • 2
  • Vittorio Villani
    • 1
  • Sandro Gerli
    • 3
  1. 1.“Arbor Vitae” CentreClinica Nuova Villa ClaudiaRomeItaly
  2. 2.Department of Surgical and Biomedical Sciences, Translational Medicine and Surgery Research Doctoral ProgramUniversity of PerugiaPerugiaItaly
  3. 3.Department of Surgical and Biomedical Sciences, Section of Obstetrics and gynecology, Centre of Reproductive MedicineUniversity of PerugiaPerugiaItaly

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