Successful strategy for the hysteroscopic myomectomy of a submucous myoma arising from the uterine fundus.
OBJECTIVE
To introduce a technique for hysteroscopic resection of submucous myoma arising from the uterine fundus.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 43-year-old nulliparous Japanese woman.


METHODS
An original combination technique of hysteroresectoscopy using circumferential myoma scraping, central vaporization, and intraoperative injection of prostaglandin F2alpha.


METHODS
Evaluation of clinical symptoms and imaging diagnosis.


RESULTS
Resection of a 40-mm fundal myoma was performed hysteroscopically, and the menorrhagia of the patient was remedied by the operation.


CONCLUSIONS
Although large sessile fundal myomas are difficult to resect by hysteroscopic myomectomy, our original strategy may allow safe and certain surgery in such cases.
Murakami
Takashi
T
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan. tm@ob-gy.med.tohoku.ac.jp
Tachibana
Masahito
M
Hoshiai
Tetsuro
T
Ozawa
Yuka
Y
Terada
Yukihiro
Y
Okamura
Kunihiro
K
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D009215:Myometrium / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000473:pathology / Q000601:surgery*