title: Is Cold Loop Hysteroscopic Myomectomy a Safe and Effective Technique for the Treatment of Submucous Myomas With Intramural Development? A Series of 1434 Surgical Procedures.
abstract: OBJECTIVE
  To assess the safety and efficacy of cold loop hysteroscopic myomectomy in a large series of cases.
  
  
  METHODS
  Retrospective study (Canadian Task Force Classification III).
  
  
  METHODS
  Arbor Vitae Center for Endoscopic Gynecology, Rome, Italy.
  
  
  METHODS
  A total of 1215 patients with 1 or more G1-G2 submucous myomas.
  
  
  METHODS
  Cold loop hysteroscopic myomectomy.
  
  
  RESULTS
  A total of 1690 myomas were removed. A minimum of 1 to a maximum of 5 fibroids for each surgical procedure were totally removed. Out of 1215 patients, 1017 (83.7%) were treated with a single surgical procedure. Twelve intraoperative complications occurred (0.84%). No cases of uterine perforation with the thermal loop or clinical intravasation syndrome were reported.
  
  
  CONCLUSIONS
  Cold loop hysteroscopic myomectomy seems to represent a safe and effective procedure for the removal of submucous myomas with intramural development, while at the same time respecting the anatomic and functional integrity of the myometrium. The use of a cold loop in resectoscopic myomectomy is associated with a low rate of minor intraoperative complications and an absence of major complications. This could be of primary relevance with a view to fertility and future pregnancies.
authors: Arbor Vitae Center for Endoscopic Gynecology, Clinica Nuova Villa Claudia, Rome, Italy.
authors: Ivan
authors: I
authors: Mazzon
authors: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy.
authors: Alessandro
authors: A
authors: Favilli
authors: Arbor Vitae Center for Endoscopic Gynecology, Clinica Nuova Villa Claudia, Rome, Italy.
authors: Mario
authors: M
authors: Grasso
authors: Arbor Vitae Center for Endoscopic Gynecology, Clinica Nuova Villa Claudia, Rome, Italy.
authors: Stefano
authors: S
authors: Horvath
authors: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy.
authors: Gian Carlo
authors: GC
authors: Di Renzo
authors: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy. Electronic address: sandro.gerli@unipg.it.
authors: Sandro
authors: S
authors: Gerli
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007558:Italy; D007889:Leiomyoma / Q000601:surgery*; D009215:Myometrium / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Cold loop; Hysteroscopic myomectomy; Hysteroscopy; Intraoperative complications; Uterine myoma