Hysteroscopic myomectomy: techniques and preoperative assessment

Even if usually asymptomatic, uterine myomas have been associated with a number of clinical issues such as abnormal uterine bleeding (AUB), heavy menstrual bleeding (HMB), infertility, recurrent pregnancy loss, especially when these masses are submucous. Golden standard treatment for symptomatic sub...

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Bibliographic Details
Published in:	Minerva ginecologica Vol. 68; no. 2; p. 154
Main Authors:	Casadio, Paolo, Guasina, Francesca, Morra, Ciro, Talamo, Maria T, Leggieri, Concetta, Frisoni, Jessica, Seracchioli, Renato
Format:	Journal Article
Language:	English
Published:	Italy 01-04-2016
Subjects:	Female Humans Hysteroscopy - methods Leiomyoma - complications Leiomyoma - pathology Leiomyoma - surgery Preoperative Care - methods Uterine Myomectomy - methods Uterine Neoplasms - complications Uterine Neoplasms - pathology Uterine Neoplasms - surgery
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Summary:	Even if usually asymptomatic, uterine myomas have been associated with a number of clinical issues such as abnormal uterine bleeding (AUB), heavy menstrual bleeding (HMB), infertility, recurrent pregnancy loss, especially when these masses are submucous. Golden standard treatment for symptomatic submucous fibroids has long been considered their laparotomic removal or a total hysterectomy. The development of endoscopy has made these fibroids accessible and removable from the inner surface of uterus. Hysteroscopy arose as a diagnostic technique, but then it also became an alternative surgical technique for many diseases, offering therapeutic and irreplaceable possibilities of treatment, avoiding major surgery on the one hand, and allowing the correction of pathologies specifically related to female fertility, on the other hand. Excision by slicing has been described as traditional resectoscopic submucosal myomectomy, but today there are new procedures among which the operator can choose, that allow overcoming the initial limitations of the traditional resectoscopic myomectomy in clinical practice.
ISSN:	1827-1650