Related Experiment Video
Updated: May 6, 2026
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
Does cold loop hysteroscopic myomectomy reduce intrauterine adhesions? A retrospective study
Ivan Mazzon1, Alessandro Favilli2, Pietro Cocco1
1"Arbor Vitae" Centre, Clinica Nuova Villa Claudia, Rome, Italy.
Objective:
To estimate the prevalence and the characteristics of intrauterine adhesions after cold loop resectoscopic myomectomy.
Design:
Retrospective study.
Setting:
Endoscopic gynecologic center.
Patient(S):
688 women with one or more G1-G2 myomas.
Intervention(S):
Cold loop resectoscopic myomectomy and diagnostic hysteroscopy in all patients 2 months after surgery.
Main Outcome Measure(S):
Integrity of the uterine cavity and prevalence of intrauterine synechiae.
Result(S):
A total of 806 myomas were removed, ranging from a minimum of one to a maximum of five fibroids removed for each surgical procedure. Complications were reported in eight cases (1.16%). No hemorrhage, intravasation clinical syndrome, or perforation with the thermal loop were registered. Synechiae were found in 29 patients (4.23%): in 2 patients a new surgical hysteroscopic treatment was required to remove fibrous synechiae, and in 27 patients light adhesions were removed with the tip of the instrument in outpatient hysteroscopy. Neither intrauterine device nor anti-adherence mixtures were used at the end of surgery.
Conclusion(S):
The cold loop hysteroscopic myomectomy is a safe and effective procedure that seems to be associated with a lower rate of intrauterine adhesions in comparison with the reported literature. The issue appears to be of notable importance for fertility patients.
More Related Videos
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
05:21Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025