title: Intramural Myomectomy Using a Combination of Hysteroscopy and Laparoscopy
abstract: Thanks to advances in hysteroscopic surgery and improvements in instrumentation, hysteroscopy can now be performed for intramural myomas. Twelve women with submucous or intramural myomas with a diameter ranging from 3.5 to 5.8 cm received preoperative preparation with 5 months of gonadotropin-releasing hormone analogs. The uterine cavity was distended with sorbitol-mannitol solution infused by an electronic pump. Hysteroscopic resection was performed with a 26F resectoscope and electrosurgical monopolar unit under laparoscopic control in all patients. Four women required a second procedure to complete the resection of myoma. No major complications occurred.
authors.affiliation: Florence Centro di Chirurgia Ambulatoriale ed Infertilita, Via Tosell 38r, 50144 Florence, Italy.
authors.initials: L
authors.lastname: Mencaglia
authors.initials: E
authors.lastname: Tiso
authors.initials: R
authors.lastname: Bianchi
authors.initials: C
authors.lastname: Tantini