Document Detail

One-step hysteroscopic myomectomy: unusual cases and a review of the literature.
MedLine Citation:
PMID:  15684788     Owner:  NLM     Status:  MEDLINE    
Operative hysteroscopy has enabled us to resect submucosal myomas transcervically as a minimally invasive surgery. However, not all submucosal leiomyomas are easily treated by hysteroscopic resection. We report two unusual and difficult cases of submucosal myomas associated with infertility, treated successfully by one-step hysteroscopic resection. One was a large (20 cm diameter) intracavitary submucosal myoma, and the other was a deeply invasive submucosal myoma invading into the broad ligament. Hysteroscopic myomectomy of such myomas has not been reported in the literature. Since hysteroscopic myomectomy is a relatively minor procedure associated with lower morbidity, submucosal myomas with infertility should be resected hysteroscopically whenever possible.
Alka Kriplani; Bhawna Malhotra Singh; Suman Meena
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  14     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-02-01     Completed Date:  2005-04-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  390-4     Citation Subset:  IM    
Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences Ansari Nagar, New Delhi, India.
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MeSH Terms
Hysteroscopy / methods*
Leiomyoma / surgery*
Uterine Neoplasms / surgery*

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