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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 183 - 185 (3page)
이용수
초록· 키워드
오류제보하기
ObjectiveScarce literature about myoma removal without anesthesia has been published. The aim of this paper is to evaluatethe feasibility of a new alternative for a hysteroscopic myomectomy in a conventional office setting, without need foranesthesia. MethodsStep-by-step description of the surgical technique has been provided, based on video images. An office hysteroscopywas performed in a Gynecological Endoscopy Department of a tertiary European hospital. ResultsA 49-year-old woman was referred for management of severe hypermenorrhea. Consent and approval were receivedfrom the patient and the institutional review board, respectively. The introduction of a Truclear® hysteroscopicpolyp morcellator of 5.5 mm with optic of 0 degrees into the uterine cavity did not require any kind of anesthesia orcervical dilatation. The use of saline flow helped distend the cavity and identify a submucosal myoma. Under directvision, a full myomectomy was performed via mechanical energy with continuous cutting movements, without anycomplication. After the procedure was completed, the excised material was aspirated through the device into acollecting pouch. A successful complete morcellation of a Type-0 submucosal leiomyoma with a polyp morcellatordevice was performed in an outpatient setting. Good medical results, good tolerance by the patient besides lowersurgical risks due to mechanical instead of electrical energy are shown. ConclusionIn conclusion, this video demonstrates that a hysteroscopic myomectomy can be performed successfully in office withlower risk of complications from the procedure and without use of general anesthesia besides good tolerance by thepatient.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Guo XC / 2012 / The impact and management of fibroids for fertility : an evidence-based approach / Obstet Gynecol Clin North Am 39:521~533
Varma R / 2009 / Hysteroscopic myomectomy for menorrhagia using Versascope bipolar system : efficacy and prognostic factors at a minimum of one year follow up / Eur J Obstet Gynecol Reprod Biol 142:154~159
Roy KK / 2010 / Reproductive outcome following hysteroscopic myomectomy in patients with infertility and recurrent abortions / Arch Gynecol Obstet 282:553~560
Mettler L / 2012 / Complications of uterine fibroids and their management, surgical management of fibroids, laparoscopy and hysteroscopy versus hysterectomy, haemorrhage, adhesions, and complications / Obstet Gynecol Int 2012:791248
Neuwirth RS / 1978 / A new technique for and additional experience with hysteroscopic resection of submucous fibroids / Am J Obstet Gynecol 131:91~94
Varma R / 2009 / Hysteroscopic myomectomy for menorrhagia using Versascope bipolar system : efficacy and prognostic factors at a minimum of one year follow up / Eur J Obstet Gynecol Reprod Biol 142:154~159
Roy KK / 2010 / Reproductive outcome following hysteroscopic myomectomy in patients with infertility and recurrent abortions / Arch Gynecol Obstet 282:553~560
Mettler L / 2012 / Complications of uterine fibroids and their management, surgical management of fibroids, laparoscopy and hysteroscopy versus hysterectomy, haemorrhage, adhesions, and complications / Obstet Gynecol Int 2012:791248
Neuwirth RS / 1978 / A new technique for and additional experience with hysteroscopic resection of submucous fibroids / Am J Obstet Gynecol 131:91~94
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