Transcervical intralesional vasopressin injection in hysteroscopic myomectomy--description of a new technique.
An original technique of transcervical intralesional vasopressin injection that allowed direct infiltration to submucous myomas under hysteroscopic control is described. Five patients with a symptomatic submucous myoma 1.5-5 cm in size scheduled for hysteroscopic myomectomy were recruited. The time required for vasopressin injection was less than 3 minutes in all cases. The time required for myomectomy ranged from 3 to 32 minutes. Four cases had no fluid absorption, whereas 1 had absorption of 1000 mL. The patient with the longest operative time and fluid absorption had multiple submucous myomas, including a large G2 myoma of 5 cm. All cases had complete excision without complication. The surgeons rated the operations as having minimal bleeding and excellent clarity. Transcervical intralesional vasopressin injection is a potentially simple, quick, and feasible method to facilitate complete resection of submucous myomas in hysteroscopic myomectomy.
Department of Obstetrics and Gynaecology, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China.
Alyssa S W
AS
Wong
Eva C W
EC
Cheung
Kit-Tong
KT
Leung
Sik-Wing
SW
Yeung
Tak-Yeung
TY
Leung
Tak-Yuen
TY
Fung
D000328:Adult; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D015552:Injections, Intralesional; D008875:Middle Aged; D063186:Uterine Myomectomy / Q000379:methods*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage*; D014667:Vasopressins / Q000008:administration & dosage*
D014662:Vasoconstrictor Agents; D014667:Vasopressins