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THERAPEUTICAL NOTES  THE DESTINY OF MYOMAS


Minerva Ginecologica 2016 Giugno;68(3):328-33

lingua: Inglese

The OPPIuM technique: office hysteroscopic technique for the preparation of partially intramural leiomyomas

Ettore CICINELLI 1, Vasileios MITSOPOULOS 2, Fabiana D. FASCILLA 1, Dimos SIOUTIS 2, Stefano BETTOCCHI 1

1 II Department of Obstetrics and Gynecology, Medical School, University “Aldo Moro”, Bari, Italy; 2 Units of assisted Reproduction and Minimally Invasive Surgery, 3rd Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, Athens, Greece


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Uterine fibroids, also known as leiomyomas, represent the most common benign tumors of the female genital tract. Submucosal leiomyomas are classified into three grades: G0, GI, GII according to the degree of their intramural proportion. A recently developed technique enables the preparation of G1 and G2 leiomyomas for their subsequent successful resection in a second step. The OPPIuM (office preparation of partially intramural leiomyomas) technique aims to downgrade type I and II leiomyomas, in order to facilitate a subsequent easier and safer resectoscopy. Hysteroscopic resection of large GI or GII submucosal fibroids is a complex procedure. OPPIuM technique has been invented and seems to achieve the downgrading of these types of leiomyomas in approximately 93% of cases, without any significant surgical complications or the need of hormonal agents’ administration. In this way, the safer and quicker subsequent complete myomectomy is facilitated.

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stefanoendo@tin.it