Myomectomy through the uterine cervix using forceps under sonographic guidance.
OBJECTIVE
To evaluate the feasibility of a novel method of forceps myomectomy under sonographic guidance.


METHODS
Between June 2005 and August 2006, we performed a prospective study to evaluate the feasibility of forceps myomectomy under sonographic guidance in patients with submucosal myomas. Patients were enrolled into the study if, on transvaginal sonographic or hysteroscopic examination, their myomas were found to have an intramural extension < 75%, absence of 'sinking' and a mean diameter < 8 cm.


RESULTS
There were 28 patients with submucosal myomas including Types 0 (n = 18), 1 (n = 6) and 2 (n = 4). In 26/28 (92.8%; 95% CI, 82.6-100) patients the myomas were removed completely. The mean operating time and intraoperative blood loss were 27.3 min and 33.5 mL, respectively. The median follow-up time was 15 months. There were no perioperative complications. No patient subsequently underwent myomectomy or hysterectomy.


CONCLUSIONS
In our experience, this novel method of forceps myomectomy is feasible for the removal of Type 0 and Type 1 submucosal myomas as well as selected Type 2 myomas.
Lin
C-C
CC
Department of Obstetrics and Gynecology, Chien-Shin Hospital, Kaohsiung, Taiwan.
Ou
M-C
MC
Hsiao
S-M
SM
Lin
H-H
HH
D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D013525:Surgical Instruments; D018084:Ultrasonography, Interventional / Q000379:methods; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*