Myomectomies by endo-uterine resection

This editorial review by Jean-Paul Hallez examines the technical aspects and risks associated with performing hysteroscopic myomectomies through endo-uterine resection. The author emphasizes that while this surgical act is well-defined and atraumatic, achieving a complete one-stage procedure that spares normal myometrium presents significant difficulty. A major caveat highlighted in the text is the danger of combining these procedures with endometrial ablations, which can provoke synechiae and adenomyosis, thereby increasing the risk of threatening complications that must be prevented. Relevance to endometriosis: explicitly warns against adding endometrial ablations to myomectomies due to the specific risk of provoking adenomyosis, linking the surgical technique directly to the pathogenesis or exacerbation of this condition.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works