Hysteroscopic resection of large fibroids - Case report
DOI:
https://doi.org/10.18597/rcog.95Keywords:
Submucosal fibroid, myoma, hysteroscopy, myomectomyAbstract
Objective: To present a surgical technique for excising large submucosal fibroids using histeroscopy.
Materials and methods: We report the case of a patient with two large submucosal fibroids with intramyometrial component, undergoing hysteroscopic myomectomy at Clínica SOMA, a high-complexity institution in Medellin, Colombia. We present a hysteroscopic myomectomy technique using the resectoscope for tumor volume reduction, and the use of a dissection technique that allows to create an adequate cleavage plane for complete tumor removal.
Conclusion: A technique combining the use of resectoscopy with fibroid enucleation would allow to resect large tumors with shorter operating time, lower glycine use and, consequently, a lower risk of fluid toxicity and perforations.
Author Biographies
Carlos Arturo Buitrago-Duque
María Isabel Villegas-Sierra
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