title: Clinical implementation of the hysteroscopic morcellator for removal of intrauterine myomas and polyps. A retrospective descriptive study.
abstract: The aim of this study is to report our experience with a novel technique, the hysteroscopic morcellator (HM), for removal of intrauterine myomas and polyps. We performed a retrospective study on 315 women undergoing operative hysteroscopy with the HM in our university-affiliated teaching hospital. We collected data on installation and operating times, fluid deficit, peri- and postoperative complications. In 37 patients undergoing myomectomy with the HM, mean installation time was 8.7 min, mean operating time, 18.2 min, and median fluid deficit, 440 mL. Three out of 37 HM procedures were converted to resectoscopy, related to a type 2 myoma. In 278 patients, mean installation and operating times for polypectomy with the HM were 7.3 min and 6.6 min, respectively. All procedures were uneventful. Implementation of the HM for removal of type 0 and 1 myomas ≤3 cm, and removal of polyps appears safe and effective. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10397-010-0627-7) contains supplementary material, which is available to authorized users.
authors.affiliation: Department of Obstetrics and Gynecology, Catharina Hospital Eindhoven, PO Box 1350, 5602 ZA Eindhoven, The Netherlands.
authors.forename: Tjalina Wibeke Oona
authors.initials: TW
authors.lastname: Hamerlynck
authors.forename: Viviane
authors.initials: V
authors.lastname: Dietz
authors.forename: Benedictus Christiaan
authors.initials: BC
authors.lastname: Schoot