title: [Operative hysteroscopy for myoma removal: Morcellation versus bipolar loop resection].
abstract: OBJECTIVE
  To evaluate the results associated with hysteroscopic morcellation for submucous myomas removal, and to compare with those observed associated with bipolar loop resection.
  A retrospective comparative study was conducted in two universitary centers from January 2012 to December 2013. A total of 83 patients, who presented with submucous myomas type 0,1 and 2, were included. The number of myomas type 0,1 was 36 (71 %) and 15 (29 %) myomas type 2 in morcellation group versus 44 (59 %) myomas type 0,1 and 31 (41 %) type 2 in electrosurgical resection group (P=0.17). Hysteroscopic morcellation or electrosurgical resection with bipolar loop for removal submucous myomas were performed.
  
  
  RESULTS
  Thirty-four patients underwent hysteroscopic morcellation using MyoSure(®), and 49 had hysteroscopic resection using Versapoint-24F(®) bipolar loop. The mean operative duration was 30minutes in morcellation group, compared to 31minutes in bipolar resection group (P=0.98). Complete myoma removal was achieved in 22 (64 %) patients in morcellation group, and in 34 (69 %) in bipolar resection group (P=0.65). There were no difference in the occuring of adverse events between the two. The prevalence of postoperative intra-uterine adherence was 10 % in morcellation group and 13.8 % in bipolar resection group (P=0.69).
  
  
  CONCLUSIONS
  In the current short comparative series, hysteroscopic morcellation and bipolar loop resection were associated with comparable results for removal of submucous myomas.
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France.
authors.forename: A
authors.initials: A
authors.lastname: Hamidouche
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France.
authors.forename: M
authors.initials: M
authors.lastname: Vincienne
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France; Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France.
authors.forename: T
authors.initials: T
authors.lastname: Thubert
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France.
authors.forename: C
authors.initials: C
authors.lastname: Trichot
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France.
authors.forename: G
authors.initials: G
authors.lastname: Demoulin
authors.affiliation: Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France.
authors.forename: A
authors.initials: A
authors.lastname: Nazac
authors.affiliation: Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France.
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
authors.affiliation: Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France.
authors.forename: A-L
authors.initials: AL
authors.lastname: Rivain
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France; Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France. Electronic address: xavier.deffieux@abc.aphp.fr.
authors.forename: X
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D000069577:Morcellation / Q000009:adverse effects / Q000379:methods*; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Bipolar resection; Complication; Hystéroscopie; Morcellation; Myoma; Myome; Operative hysteroscopy; Résection bipolaire