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MINERVA GINECOLOGICA

Rivista di Ostetricia e Ginecologia


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REVIEWS  THE DESTINY OF MYOMAS


Minerva Ginecologica 2016 June;68(3):321-7

lingua: Inglese

Office myomectomy

Attilio DI SPIEZIO SARDO 1, Oronzo CECI 1, Brunella ZIZOLFI 2, Carmine NAPPI 1, Stefano BETTOCCHI 2

1 Unit of Obstetrics and Gynecology, Federico II University, Naples, Italy; 2 II Unit of Obstetrics and Gynecology, Department of Biomedical Sciences and Human Oncology, “Aldo Moro” University, Bari, Italy


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Small myomas have a high potential to grow and either to become symptomatic or to cause complications in women of reproductive age. Furthermore, although the risk of malignancy is rare, even the most experienced operator cannot replace the histological analysis to exclude malignancy or premalignant lesions. Such small symptomatic and asymptomatic totally or partially intracavitary myomas may be treated effectively and safety in office setting. The aim of this paper is to describe the currently available hysteroscopic techniques to treat myomas <1.5 cm also with a minimal intramural component without anaesthesia or analgesia in ambulatory setting reducing patient’s discomfort.

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cdispie@tin.it