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Hysteroscopy pp 363–374Cite as

Hysteroscopic Myomectomy Respecting the Pseudocapsule: The Cold Loop Hysteroscopic Myomectomy

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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.

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Author information

Authors and Affiliations

  1. “Arbor Vitae” Centre, Clinica Nuova Villa Claudia, Rome, Italy

    Ivan Mazzon M.D. & Vittorio Villani M.D.

  2. Department of Surgical and Biomedical Sciences, Translational Medicine and Surgery Research Doctoral Program, University of Perugia, Perugia, Italy

    Alessandro Favilli M.D.

  3. Department of Surgical and Biomedical Sciences, Section of Obstetrics and gynecology, Centre of Reproductive Medicine, University of Perugia, Perugia, Italy

    Sandro Gerli M.D.

Authors
  1. Ivan Mazzon M.D.
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  2. Alessandro Favilli M.D.
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  3. Vittorio Villani M.D.
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  4. Sandro Gerli M.D.
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Corresponding author

Correspondence to Alessandro Favilli M.D. .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, Ospedale Vito Fazzi, Lecce, Italy

    Andrea Tinelli

  2. Hysteroscopy Unit, Gutenberg Institute, Malaga, Spain

    Luis Alonso Pacheco

  3. Hysteroscopy Unit, Hospital Del Mar, Barcelona, Spain

    Sergio Haimovich

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Mazzon, I., Favilli, A., Villani, V., Gerli, S. (2018). Hysteroscopic Myomectomy Respecting the Pseudocapsule: The Cold Loop Hysteroscopic Myomectomy. In: Tinelli, A., Alonso Pacheco, L., Haimovich, S. (eds) Hysteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-319-57559-9_36

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  • DOI: https://doi.org/10.1007/978-3-319-57559-9_36

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