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Safe techniques in surgery for hysteroscopic myomectomy
Author(s) -
Murakami Takashi,
Tamura Mitsutoshi,
Ozawa Yuka,
Suzuki Haruka,
Terada Yukihiro,
Okamura Kunihiro
Publication year - 2005
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2005.00274.x
Subject(s) - medicine , surgery , myometrium , perforation , myoma , uterine perforation , hysteroscopy , uterus , population , materials science , environmental health , family planning , punching , research methodology , metallurgy
Hysteroscopic myomectomy is regarded as the best treatment for patients with submucous myomata. However, this procedure has a number of associated complications, including uterine perforation, cervical laceration, hyponatremia and hemorrhage, especially in cases of sessile submucous myomata. To avoid these problems, it is important to make well‐advised preparations and manipulations both pre‐ and intraoperatively. The main surgical considerations for safe hysteroscopic myomectomy are shortening the operating time and avoiding cutting too deeply into the myometrium. With these requirements in mind, a combination of techniques using vaporization and a powerful oxytocic agent, such as prostaglandin F‐2α, appears to be the safest method of carrying out hysteroresectoscopy for unpedunculated sessile submucous myomata.