title: The OPPIuM technique: office hysteroscopic technique for the preparation of partially intramural leiomyomas.
abstract: Uterine fibroids, also known as leiomyomas, represent the most common benign tumors of the female genital tract. Submucosal leiomyomas are classified into three grades: G0, GI, GII according to the degree of their intramural proportion. A recently developed technique enables the preparation of G1 and G2 leiomyomas for their subsequent successful resection in a second step. The OPPIuM (office preparation of partially intramural leiomyomas) technique aims to downgrade type I and II leiomyomas, in order to facilitate a subsequent easier and safer resectoscopy. Hysteroscopic resection of large GI or GII submucosal fibroids is a complex procedure. OPPIuM technique has been invented and seems to achieve the downgrading of these types of leiomyomas in approximately 93% of cases, without any significant surgical complications or the need of hormonal agents' administration. In this way, the safer and quicker subsequent complete myomectomy is facilitated.
authors.affiliation: II Department of Obstetrics and Gynecology, Medical School, University "Aldo Moro", Bari, Italy - stefanoendo@tin.it.
authors.forename: Ettore
authors.initials: E
authors.lastname: Cicinelli
authors.forename: Vasileios
authors.initials: V
authors.lastname: Mitsopoulos
authors.forename: Fabiana D
authors.initials: FD
authors.lastname: Fascilla
authors.forename: Dimos
authors.initials: D
authors.lastname: Sioutis
authors.forename: Stefano
authors.initials: S
authors.lastname: Bettocchi
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D063186:Uterine Myomectomy / Q000379:methods; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*