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Five Hundred Twenty-two Resectoscopic Myomectomies
1Department of Obstetrics and Gynecology, Kawasaki Municipal Hospital, 12-1, Shinkawadori, Kawasaki-Ku, Kawasaki, Kanagawa-Ken, 210 Japan.
Summary
Resectoscopic myomectomy effectively treated submucous uterine fibroids in 522 women, with most experiencing symptom improvement. This minimally invasive procedure demonstrated high safety and efficacy, avoiding the need for laparotomy.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Submucous myomas are a common gynecological condition.
- Surgical resection is often necessary for symptomatic relief.
Purpose of the Study:
- To evaluate the safety and efficacy of resectoscopic myomectomy for submucous myomas.
- To assess the utility of the two-resectoscope method and specialized instruments.
Main Methods:
- Resectoscopic myomectomy performed on 522 women between 1985 and 1996.
- Utilized the two-resectoscope method for difficult resections.
- Monitored procedures with simultaneous ultrasound and employed Lin's myoma forceps.
Main Results:
- Average operating time was 34.2 minutes.
- Average specimen weight was 23.9 g.
- No uterine perforations or necessary laparotomies were reported; symptom improvement was nearly universal.
Conclusions:
- Resectoscopic myomectomy is a safe and effective treatment for submucous myomas.
- The two-resectoscope method and specialized instruments enhance procedural ease and safety.
- Minimally invasive approach leads to significant symptom relief without major complications.