Successful strategy for the hysteroscopic myomectomy of a submucous myoma arising from the uterine fundus

Takashi Murakami, Masahito Tachibana, Tetsuro Hoshiai, Yuka Ozawa, Yukihiro Terada, Kunihiro Okamura

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

Objective: To introduce a technique for hysteroscopic resection of submucous myoma arising from the uterine fundus. Design: Case report. Setting: University hospital. Patient(s): A 43-year-old nulliparous Japanese woman. Intervention(s): An original combination technique of hysteroresectoscopy using circumferential myoma scraping, central vaporization, and intraoperative injection of prostaglandin F2α. Main Outcome Measure(s): Evaluation of clinical symptoms and imaging diagnosis. Result(s): Resection of a 40-mm fundal myoma was performed hysteroscopically, and the menorrhagia of the patient was remedied by the operation. Conclusion(s): Although large sessile fundal myomas are difficult to resect by hysteroscopic myomectomy, our original strategy may allow safe and certain surgery in such cases.

Original languageEnglish
Pages (from-to)1513.e19-1513.e22
JournalFertility and sterility
Volume86
Issue number5
DOIs
Publication statusPublished - 2006 Nov

Keywords

  • Hysteroscopy
  • fundal myoma
  • prostaglandin F2 alpha
  • vaporization

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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