[Hysteroscopic resection of submucous myomas in 27 cases]

Hysteroscopic resection of submucous myomas was done in 27 patients with the Karl Storz equipment. Among them 20 were peduncular myomas, 5 of which dropped out of the external of cervix, 7 were sessile myomas. Under ultrasonography the largest sessile myoma was 5cm in diameter. The depth of the uterine cavity was less than 10cm in all cases. For the sessile submucous myomas, the surface vessels were electro-coagulated first, then the myomas were electro-resected chip-by-chip. Peduncular for the myomas, if the pedicle was larger than 1cm, it was electro-resected, if it was less than 1cm, the myoma was removed by grasping and twisting the pedicle. Hysteroscopic resection of submucous myomas under video camera monitor is safe, less traumatic and requires, shorter stay in hospital. There was no significant postoperative complications. Follow up for one to twenty-nine months showed satisfactory results.