Hysteroscopic myomectomy without anesthesia
Obstetrics & Gynecology Science
;
: 183-185, 2019.
Article
in English
| WPRIM
| ID: wpr-741751
ABSTRACT
OBJECTIVE:
Scarce literature about myoma removal without anesthesia has been published. The aim of this paper is to evaluate the feasibility of a new alternative for a hysteroscopic myomectomy in a conventional office setting, without need for anesthesia.METHODS:
Step-by-step description of the surgical technique has been provided, based on video images. An office hysteroscopy was performed in a Gynecological Endoscopy Department of a tertiary European hospital.RESULTS:
A 49-year-old woman was referred for management of severe hypermenorrhea. Consent and approval were received from the patient and the institutional review board, respectively. The introduction of a Truclear® hysteroscopic polyp morcellator of 5.5 mm with optic of 0 degrees into the uterine cavity did not require any kind of anesthesia or cervical dilatation. The use of saline flow helped distend the cavity and identify a submucosal myoma. Under direct vision, a full myomectomy was performed via mechanical energy with continuous cutting movements, without any complication. After the procedure was completed, the excised material was aspirated through the device into a collecting pouch. A successful complete morcellation of a Type-0 submucosal leiomyoma with a polyp morcellator device was performed in an outpatient setting. Good medical results, good tolerance by the patient besides lower surgical risks due to mechanical instead of electrical energy are shown.CONCLUSION:
In conclusion, this video demonstrates that a hysteroscopic myomectomy can be performed successfully in office with lower risk of complications from the procedure and without use of general anesthesia besides good tolerance by the patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Polyps
/
Labor Stage, First
/
Hysteroscopy
/
Ethics Committees, Research
/
Endoscopy
/
Uterine Myomectomy
/
Morcellation
/
Anesthesia
/
Anesthesia, General
Limits:
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2019
Type:
Article
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