Hysteroscopic resection of submucous myomas

P. Brandner, K. J. Neis, Paula M. Diebold, P Diebold
Contributions to gynecology and obstetrics · 2000 · vol. 20 , pp. 81–90 · doi:10.1159/000060289 · PMID:11791288 · W1545260532
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This review summarizes current hysteroscopic resection techniques for submucous myomas and provides guidelines to standardize procedures while enabling individualized treatment strategies based on patient-specific anatomical and logistical factors.

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Abstract

Within just a few years, operative hysteroscopy has largely replaced laparotomy in the treatment of submucous myomas. Due to the rapid expansion of hysteroscopic surgery techniques, guidelines must be defined to standardize the procedure and at the same time provide the basis for highly individualized treatment of each patient. The choice of an appropriate therapeutic approach in this context is an issue of logistics, rather than surgery. Factors contributing to the individualized decision regarding the therapeutic approach include indications, individual anatomical conditions encountered, necessity of medical pretreatment, available equipment and adequate premises at the surgical center, and intraoperative procedure of choice. Taking into consideration all these issues, the present article aims at presenting to the surgeon not only a summary of the state-of-the-art techniques, but also a guideline for sophisticated strategy planning for and performance of the hysteroscopic technique of myoma resection.

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MeSH descriptors

Hysteroscopy Myoma Female Humans Hysteroscopes Hysteroscopes Hysteroscopy Myoma Myoma Ultrasonography

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License: CC0 · commercial use OK