Novel Techniques in Tubal Contraception

Wamsteker, Kees; Blok, Sjoerd de; Emanuel, Mark Hans; Kuijer, C. G. W. A. Stappers-de

doi:10.1007/978-1-4471-1987-6_14

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…Since 1976, the fibroids were accessible to hysteroscopic approaches as a conservative treatment, especially for type 0 and type 1 of the European Society of Gynaecological Endoscopy (ESGE) classification [1]. But the instruments needed an approach requiring anesthesia and dilatation, exposing to numerous complications, especially when using monopolar electric energy.…”

Section: Introductionmentioning

confidence: 99%

New Hysteroscopic Approaches to Uterine Fibroids

Socolov¹,

Păvăleanu²,

Socolov³

et al. 2020

Leiomyoma

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The hysteroscopic myomectomy is a very important application of the gynecologic endoscopy, as it allows minimal invasive removal of the type 0, 1, and 2 fibroids with minimal damage to the uterine wall. In the last decade, new developments of this method allowed an even less invasive approach, with possibility of ambulatory procedure. We discuss the importance of these new developments, based very much on the pseudocapsule of the myoma, and analyze the literature data regarding the outcome. The cold loop resection is a technique that could be used in type 1 and type 2 myomas, with less complications and limitations than the classical electrical resectoscope. Another development, more useful for type 0 and 1 myoma, is the hysteroscopic morcellator, similar to the laparoscopic one, but providing a faster and safer procedure. We also update the complications of hysteroscopic myomectomy and their management, including long-term and obstetrical complications related to hysteroscopic myomectomy. In conclusion, new developments and studies show that hysteroscopic myomectomy has become a valid endoscopic technique ready to be used by many specialists.

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Section: Introductionmentioning

confidence: 99%