Myomectomies by endo-uterine resection

Endo-uterine resection is a true surgical act, well defined and atraumatic. To perform elective and complete one-stage hysteroscopic myomectomies, sparing normal myometrium, is not easy. Endometrial ablations provoking synaechie and adenomyosis should not be added to myomectomies. Complications of hysteroscopic surgery may be threatening and must be prevented.