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Hysteroscopic
resection of myomas (hysteroscopic myomectomy)
Submucous and intracavitary
myomas can often be removed through the cervix using an instrument called a
resectoscope. The resectoscope is a special type of hysteroscope with a built in wire loop
that uses high-frequency electrical energy to cut or coagulate tissue. It was
developed for surgery of the bladder and the male prostate over fifty years ago to allow
surgery inside an organ without having to make an incision, and has made
hysteroscopic myomectomy possible.
How is hysteroscopic resection of myomas
done?
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Just as with a standard hysteroscope, the resectoscope is inserted through the cervix.
Because it goes through the cervix, it is not necessary to make an incision. Procedures using the resectoscope are
done in an operating room setting, such as in an outpatient surgery center.
This can at times be done under
local anesthesia, but most women prefer to be completely asleep with general anesthesia.
The resectoscope is far more efficient at removing tissue (such as fibroids or large
polyps) than conventional instruments. Because of this, the
resectoscope should
be used only by physicians who have training in its use and who use it on a
regular basis.
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View
through the resectoscope of actual removal of fibroid
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We are looking in the uterus through a
resectoscope. We can see a large fibroid filling the uterine
cavity. The cutting loop of the resectoscope has been placed
beyond the fibroid, and is getting ready to cut out a piece of
fibroid. The pieces are removed through the cervix.
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The fibroid has been entirely
removed. The uterine cavity, which had been hidden by the
fibroid, can now be seen. (The loop looks larger in this
photo because it is closer to the lens.)
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©2001, Paul Indman, MD. All Rights
Reserved
15195 National Avenue, Suite 201; Los Gatos, CA 95032
Telephone : 408 358-2788 ; FAX : 408 356-5526
The
medical information presented in this website represents the opinion of
Dr. Indman, and is based on his knowledge and experience. It is not
applicable to all patients or physicians. Anyone visiting this or other
related medical sites should discuss symptoms, findings, and alternatives
with their personal gynecologist. |
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