Letter to the Editor

In: Facts, Views and Vision in ObGyn · 2022 · vol. 14(4) , pp. 357 · doi:10.52054/fvvo.14.4.052 · PMID:36724431 · PMC10364334 · W4318822457
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AI-generated summary by claude@2026-06, 2026-06-09

This letter highlights that hysteroscopic resection of fibroids also affects the junctional zone, a topic not yet discussed in existing literature regarding trauma and healing.

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Abstract

Your article 'Endometrial preservation during resection of type II and type III submucosal fibroids' (Vorona and Saridogan, 2022) and the discussion on the healing of the endometrium, was read with interest.However, hysteroscopic resection of type II or type III fibroids will also incise or resect the junctional zone (JZ).Checking Pubmed for (hysteroscopy OR myoma) AND (JZ or junctional zone) not a single article was found discussing the trauma and the healing of the JZ following hysteroscopic myomectomy.Only one article studied the healing of the myometrium after abdominal myomectomy without mentioning the JZ (Tsuji et al., 2006).Abdominal myomectomy of large myomas decreases uterine contractility, which was suggested to improve fertility (Yoshino et al., 2012).

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