REVIEWS  THE DESTINY OF MYOMAS 

Minerva Ginecologica 2016 June;68(3):334-44

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Resectoscopic myomectomy

Ivan MAZZON ¹, Stefano BETTOCCHI ², Fabiana FASCILLA ², Domenico DE PALMA ², Federica PALMA ³, Brunella ZIZOLFI ⁴, Attilio DI SPIEZIO SARDO ⁴ ✉

¹ Arbor Vitae Center, Villa Claudia Hospital, Rome, Italy; ² II Unit of Obstetrics and Gynecology, University “Aldo Moro”, Bari, Italy; ³ Unit of Obstetrics and Gynecology, University of Modena and Reggio Emilia, Italy; ⁴ Unit of Obstetrics and Gynecology, University of Federico II, Naples, Italy

Hysteroscopic myomectomy currently is the “gold standard” procedure for treating submucous myoma and represents an effective and safe solution to abnormal uterine bleeding and infertility myoma-related. Several studied have shown that, in the case of submucous myomas, resectoscopic myomectomy has several advantages compared with the traditional surgical treatment of myomectomy by laparotomy, in terms of reduced myometrial trauma, shorter hospitalization times and decreased risk of postoperative adhesion formation. The aim of this paper was to describe the alternative techniques, currently available, of resectoscopic myomectomy. The choice of the procedure mostly depends on the intramural extension of the myoma, as well as on personal experience and available equipment.