Related Experiment Video
Updated: May 12, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
[Myomectomy]
Jean-Luc Brun1, Guillaume Legendre, Sofiane Bendifallah
1Hôpital Pellegrin, centre Aliénor d'Aquitaine, pôle d'obstétrique reproduction gynécologie, 33076 Bordeaux, France. jean-luc.brun@chu-bordeaux.fr
Abstract:
Myomas induce menorrhagia and pelvic pain, and increase the risk of infertility and obstetrical complications. Symptomatic sub-mucosal myomas are classically treated by hysteroscopic resection. Symptomatic interstitial and sub-serosal myomas may be treated by myomectomy, either by laparotomy or laparoscopy according to their number and size. Prophylactic myomectomy is not recommended to prevent from obstetrical complications or the risk of leiomyosarcoma. Although all myomas have a negative effect on fertility, the removal of sub-mucosal myomas is the sole recommendation to improve spontaneous fertility or assisted reproduction technology.

