Hysteroscopic myomectomy

Surgical techniques and outcome in the management of submucous fibroids

“…The absence of tissue debris in these cases maintains the visualization and facilitates the operation [8]. Another option in these cases is slicing technique.…”

“…The loop electrode is placed distal to the myoma, retracted toward the cervix and should be visualized throughout the whole procedure to avoid uterine perforation [7,8].…”

“…extracted with the loop (without current) or with a blind curette. For more than 2 cm myoma, a progressive regression from the surface of the myoma toward the endometrium has to be done [8].…”

“…For submucosal myoma of the horn, extreme care is required to prevent injury of the tubal ostium or perforation [8] and use of a rollerball or barel with bipolar vaporization without sheet is a surgical option.…”