title: [New in hysteroscopy: hysteroscopic morcellators].
abstract: A new technology recently appeared for the treatment of endo-uterine pathologies: hysteroscopic morcellators. It seemed to us useful to review this new technology. The morcellator we mostly experiment is the Myosure®, in 14 patients, with a median age of 40.5 years (28-58). The time of procedure went from 5 to 75 min with a median time at 26 min. The median of the total fluid deficit was 300 mL (0-1500 mL). A conversion in traditional resectoscopy happened in 4 cases (29%). This results are not so good as in literature. This is probably bound to one the learning curve but also the type of pathology. For the operative time, all the studies agree that hysteroscopic morcellation is faster than hysteroscopic resection. The quantity of fluid used is also lesser, as the deficit of fluid when the morcellator is used. The percentage of success to remove the pathology is high, close to 100% for the polyps and 92% for the submucous myomas. The indications are the polyps and the submucous myomas type 0 or 1. The morcellation of remnant trophoblastic tissues is also described and seems effective. Others indications, as the removal of uterine septum or cure of uterine synechias, are criticisable. In conclusion, hysteroscopic morcellators are probably a great progress for the cure of the endo-uterine pathologies. They cannot yet concurrence the hysterosopic resectoscopes for the treatment of big submucous myoma or those with a large intramyometrial involvement.
authors.affiliation: CMCO, pôle de gynécologie obstétrique des hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, 67300 Schiltigheim, France. Electronic address: olivier.garbin@chru-strasbourg.fr.
authors.forename: O
authors.initials: O
authors.lastname: Garbin
authors.affiliation: CMCO, pôle de gynécologie obstétrique des hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, 67300 Schiltigheim, France. Electronic address: schwartz.lu@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Schwartz
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D061646:Operative Time; D011127:Polyps / Q000601:surgery; D014327:Trophoblasts / Q000473:pathology; D014591:Uterine Diseases / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000473:pathology
keywords: Endometrial polyp; Hysteroscopic morcellator; Hysteroscopy; Hystéroscopie; Morcellateur hystéroscopique; Morcellation; Morcellement; Myoma; Myome; Polype de l’endomètre