Sonographically guided hysteroscopic myomectomy (SGHM): minimizing the risks and maximizing efficiency

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecologic Surgery

Background:

• Hysteroscopic myomectomy (HM) is a key procedure for managing uterine fibroids causing infertility or abnormal uterine bleeding (AUB).
• Standard HM carries risks including bleeding, uterine perforation, and fluid intravasation.

Purpose of the Study:

• To describe a novel technique: sonographically guided hysteroscopic myomectomy (SGHM).
• To demonstrate how SGHM improves safety and efficiency in submucous leiomyoma resection.

Main Methods:

• Continuous sonographic monitoring during hysteroscopic myomectomy.
• Integration of resectoscopic and non-resectoscopic morcellation techniques.
• Utilizing real-time imaging to guide surgical progress and minimize complications.

Main Results:

• SGHM allows continuous monitoring of the surgical field.
• Reduced risk of uterine perforation and excessive fluid absorption.
• Safe and efficient removal of submucous leiomyomas achieved.

Conclusions:

• Sonographically guided hysteroscopic myomectomy offers a safer and more efficient approach to treating submucous leiomyomas.
• This technique enhances the management of women with infertility or AUB due to fibroids.