title: Successful strategy for the hysteroscopic myomectomy of a submucous myoma arising from the uterine fundus.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan. tm@ob-gy.med.tohoku.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Murakami
authors.forename: Masahito
authors.initials: M
authors.lastname: Tachibana
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Hoshiai
authors.forename: Yuka
authors.initials: Y
authors.lastname: Ozawa
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Terada
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Okamura
mesh_terms: 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*