One-step hysteroscopic myomectomy using Lin dissecting loop and Lin myoma graspers

Lin, Bao-Liang; Higuchi, Takayuki; Yabuno, Akira; Kashinoura, Kana; Suzuki, Takeshi; Kim, Seon-Hye; Iwata, Seigo; Zhao, Yun

doi:10.1016/j.gmit.2012.08.004

Cited by 15 publications

(9 citation statements)

References 12 publications

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“…The median DFIs of 12.4 months after the first TCR, 15.3 months after the second TCR, 10.5 months after the third TCR, and 10.9 months after the fourth TCR indicate that even in cases of recurrent APA, TCR can provide a sufficient time interval within which to conceive. Elective cesarean section is not necessary after TCR surgery [8]. In the present study, 4 of 5 deliveries were normal and spontaneous, and only 1 patient required a cesarean delivery owing to a fetal condition.…”

Section: Discussionmentioning

confidence: 43%

“…Typically, a resectoscope is used to shave the myoma from the uterus. In the present study, TCR was performed using a 1-step hysteroscopic resection method as described previously [8]. In this technique, the tumor was first dissected away from the endometrium or myometrium using a Lin dissecting loop (Karl Storz, Tuttlingen, Germany), then cut into pieces with a conventional cutting loop and retrieved using a Lin myoma grasper or placental forceps under ultrasound guidance.…”

Section: Hysteroscopic Tcrmentioning

confidence: 99%

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Hysteroscopic Transcervical Resection for Atypical Polypoid Adenomyoma of the Uterus: A Valid, Fertility-Preserving Option

Chiyoda

Lin

Saotome

et al. 2018

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 43%

Section: Hysteroscopic Tcrmentioning

confidence: 99%

Hysteroscopic Transcervical Resection for Atypical Polypoid Adenomyoma of the Uterus: A Valid, Fertility-Preserving Option

Chiyoda

Lin

Saotome

et al. 2018

Journal of Minimally Invasive Gynecology

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“…In women who wish to retain fertility after transcervical resection of myomata, 8 we insert an FD-1 IUCD to prevent intrauterine adhesions and remove the IUCD 1 month later at the time of second-look hysteroscopy. It is easy to perform the hysteroscopic examination with the FD-1 IUCD in place and when the woman is not having her menstruation.…”

Section: Discussionmentioning

confidence: 99%

Invention of a new Lin soft outer sheath as a continuous flow system for diagnostic flexible hysteroscopy

Lin

Chin

Ookouchi

et al. 2015

Gynecology and Minimally Invasive Therapy

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a b s t r a c tObjectives: This study aims to evaluate the efficacy of a newly developed Lin soft outer sheath that is used as a continuous flow system for outpatient flexible hysteroscopy. Materials and methods: Diagnostic hysteroscopy was performed in 134 patients who presented to our center with uterine bleeding over the 25-month study period. The flexible hysteroscope was equipped with a Lin soft outer sheath. Results: Hysteroscope insertion failure was observed in six cases of, i.e., an insertion failure rate of 4.5%. Out of the other 128 women, accurate diagnosis of four patients could not be made because of intrauterine blood clots, i.e., a success rate of 92.5%. No complication, except postprocedure bleeding for a few days, was encountered. Conclusion: The new Lin soft outer sheath is effective as a continuous flow system for outpatient flexible hysteroscopy.

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“…Litta [55] Elliptical incision of the mucosa that covers the myoma at the level of uterine wall and detection of the cleavage. Cutting of the fibrous bridges between myoma and uterine wall, thereby obtaining expulsion of the deep portion into uterine cavity.…”

Section: Authormentioning

confidence: 99%

Likelihood of Accomplishing an In-Patient Hysteroscopic Myomectomy in a One-Step Procedure: A Systematic Review and Meta-Analysis

Indraccolo

Bini

Favilli

2020

BioMed Research International

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Purpose. To assess the feasibility rate of one-step hysteroscopic myomectomy according to the technique adopted. Methods. In July 2016, PubMed, ClinicalTrials.gov, SCOPUS, Scielo, and AJOL databases were used for searching references. Series of in-patient hysteroscopic myomectomies reporting success rate in only one-step procedure, categorization of submucous fibroids, explanation of the surgical technique, and description of patients were considered eligible for meta-analysis (retrospective, prospective randomized studies). Two authors extracted the data. Rate of myomectomies accomplished in only a surgical step and rate of intraoperative complications were extracted per protocol. A modified GRADE score was used for quality assessment. Random-effect models were already assumed. Mean rates were compared among subgroups. Results. One thousand two hundred and fifty-seven studies were screened and 241 of these were read for eligibility. Seventy-eight series were included in qualitative synthesis and 24 series were included in quantitative synthesis. Wide heterogeneity was found. In series with <50% of G2 myomas treated, the slicing technique feasibility rate was 86.5% while techniques for enucleating the deep portion of the myomas showed a feasibility rate of 92.3% (p<0.001). In series with ≥50% of G2 myomas treated, the slicing technique feasibility rate was 70.6% while techniques for enucleating the deep portion of myomas showed a feasibility rate of 88.4% (p<0.001). Complications were significantly lower for alternative techniques to the classical slicing. Conclusion. In case of submucous myomas with intramural development, the slicing technique was correlated with a lower rate of in-patient hysteroscopic myomectomies accomplished in a one-step procedure and a higher complications rate.

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One-step hysteroscopic myomectomy using Lin dissecting loop and Lin myoma graspers

Cited by 15 publications

References 12 publications

Hysteroscopic Transcervical Resection for Atypical Polypoid Adenomyoma of the Uterus: A Valid, Fertility-Preserving Option

Hysteroscopic Transcervical Resection for Atypical Polypoid Adenomyoma of the Uterus: A Valid, Fertility-Preserving Option

Invention of a new Lin soft outer sheath as a continuous flow system for diagnostic flexible hysteroscopy

Likelihood of Accomplishing an In-Patient Hysteroscopic Myomectomy in a One-Step Procedure: A Systematic Review and Meta-Analysis

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