Further refinements of the polyp snare for interuterine surgery--a new modality for treatment of myomas and polyps.
Hysteroscopic treatment of 30 patients suffering from menorrhagia or post-partum complications was accomplished using an electrosurgical polyp snare. Using this method, 18 polyps and 12 myomas were successfully removed in less than twenty minutes without complications. Local anaesthesia was used in 12 patients. Three patients have presented with recurrence of menorrhagia, with a minimum of six months follow-up. Benefits of this technique compared to uterine resectoscopy include shorter operative time, decreased risk of fluid overload, and less risk of uterine perforation. The snare is difficult to use and a learning curve exists. Higher currents than that used for resection are required.
McLucas
B
B
Department of Obstetrics and Gynecology, University of California at Los Angeles, USA.
D004598:Electrosurgery / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D008595:Menorrhagia / Q000209:etiology; D011127:Polyps / Q000150:complications / Q000601:surgery*; D013997:Time Factors; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*