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- Title
Safe techniques in surgery for hysteroscopic myomectomy.
- Authors
Murakami, Takashi; Tamura, Mitsutoshi; Ozawa, Yuka; Suzuki, Haruka; Terada, Yukihiro; Okamura, Kunihiro
- Abstract
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.
- Subjects
MYOMECTOMY; SURGERY; MYOMETRIUM; UTERUS; PROSTAGLANDINS; INFLAMMATORY mediators
- Publication
Journal of Obstetrics & Gynaecology Research, 2005, Vol 31, Issue 3, p216
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/j.1447-0756.2005.00274.x