Skip to main content

Hysteroscopic Myomectomy

  • Chapter
  • First Online:
  • 1562 Accesses

Abstract

Bozzini is the first scientist who applied light to visualize insight of the human body in 1805. Then Desormeaux introduced his devise for cystoscopy and he used the term ‘endoscopie’ in 1853 (Fig. 9.1).

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Valle RF, Sciarra JJ. Hysteroscopy, contact hysteroscopy, and microhysteroscopy: chapter 118. In: Sciarra JJ, et al., editors. Gynecology and obstetrics 2004 on CD-ROM orders. Hagerstown: Lippincott Williams & Wilkins. http://www.glowm.com/resources/glowm/cd/pages/v1/v1c118.html.

  2. Lindheim SR, Kavic S, Shulman SV, Sauer MV. Operative hysteroscopy in the office setting. J Am Assoc Gynecol Laparosc. 2000;7:65–9.

    Article  CAS  PubMed  Google Scholar 

  3. Bettocchi S, Ceci O, Nappi L, et al. Operative hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol. 2004;11:59–61.

    Article  CAS  Google Scholar 

  4. Ubaldi F, Tournaye H, Camus M, Van der Pas H, Gepts E, Devroey P. Fertility after hysteroscopic myomectomy. Hum Reprod Update. 1995;1(1):81–90.

    Article  CAS  PubMed  Google Scholar 

  5. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL practice Report: Practice Guidelines for the diagnosis and management of submucous leiomyomas. J Minim Invasive Gynecol. 2012;19:152–71.

    Article  Google Scholar 

  6. Hallez JP. Single-stage total hysteroscopic myomectomies: indications, techniques, and results. Fertil Steril. 1995;63:703–8.

    CAS  PubMed  Google Scholar 

  7. Munoz JL, Jimenez JS, Hernandez C, Vaquero G, Perez Sagaseta C, Noguero R, Miranda P, Hernandez JM, De la Fuente P. Hysteroscopic myomectomy: our experience and review. JSLS. 2003;7:39–48.

    CAS  PubMed Central  PubMed  Google Scholar 

  8. West CP, Lumsden MA. Fibroids and menorrhagia. Baillieres Clin Obstet Gynaecol. 1989;3(2):357–74.

    Article  CAS  PubMed  Google Scholar 

  9. Pritts E, Parker W, Olive D. Fibroids and infertility: an updated systematic review of the evidence. Fertil Steril. 2009;91:1215–23.

    Article  PubMed  Google Scholar 

  10. Wamsteker K, Emanuel MH, de Kruif JH. Transcervical hysteroscopic resection of submucous fibroids for abnormal uterine bleeding: results regarding the degree of intramural extension. Obstet Gynecol. 1993;82(5):736–40.

    CAS  PubMed  Google Scholar 

  11. Wamsteker K, de Block S. Diagnostic hysteroscopy: technique and documentation. In: Sutton CJG, Diamond M, editors. Endoscopic surgery for gynecologists. London: WB Saunders; 1993. p. 263–76.

    Google Scholar 

  12. Munro MG, Critchley HO, Broder MS, Fraser IS, FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011;113(1):3–13.

    Article  PubMed  Google Scholar 

  13. Lasmar RB, Barrozo PR, Dias R, Oliveira MA. Submucous myomas: a new presurgical classification to evaluate the viability of hysteroscopic surgical treatment – preliminary report. J Minim Invasive Gynecol. 2005;12(4):308–11.

    Article  PubMed  Google Scholar 

  14. American Association of Gynecologic Laparoscopists (AAGL): Advancing Minimally Invasive Gynecology Worldwide. AAGL practice report: practice guidelines for the diagnosis and management of submucous leiomyomas. J Minim Invasive Gynecol. 2012;19(2):152–71.

    Article  Google Scholar 

  15. Mavrelos D, Ben Nagi J, Davies A, Lee C, Salim R, Jurkovic D. The value of pre operative treatment with GnRH analogues in women with submucous fibroids: a double blind, placebo-controlled randomized trial. Hum Reprod. 2010;25:2264–9.

    Article  CAS  PubMed  Google Scholar 

  16. Somigliana E, Vercellini P, Daguati R, Pasin R, De Giorgi O, Crosignani PG. Fibroids and female reproduction: a critical analysis of the evidence. Hum Reprod Update. 2007;13:465–76.

    Article  CAS  PubMed  Google Scholar 

  17. Romer T, Schmidt T, Foth D. Pre- and post-operative hormonal treatment in patients with hysteroscopic surgery. Contrib Gynecol Obstet. 2000;20:1–12.

    Article  CAS  PubMed  Google Scholar 

  18. Perino A, Chianchiano N, Petronio M, Cittadini E. Role of leuprolide acetate depot in hysteroscopy surgery: a controlled study. Fertil Steril. 1993;59:507–10.

    CAS  PubMed  Google Scholar 

  19. Donnez J, Schrurs B, Gillerot S, Sandow J, Clerck F. Treatment of uterine fibroids with implants of gonadotrophin releasing hormone agonista: assessment by hysterography. Fertil Steril. 1989;51:947–50.

    CAS  PubMed  Google Scholar 

  20. Campo S, Campo V, Gambadauro P. Short term and long term results of resectoscopic myomectomy with and without pretreatment with GnRH analogs in premenopausal women. Acta Obstet Gynecol Scand. 2005;84:756–60.

    Article  PubMed  Google Scholar 

  21. Kamath M, Kalampokas E, Kalampokas T. Use of GnRH analogues pre-operatively for hysteroscopic resection of submucous fibroids: a systematic review and meta-analysis. Eur J Obstet Gynecol. 2014;177:11–8. doi:10.1016/j.ejogrb.2014.03.009.

    Article  CAS  Google Scholar 

  22. Melis GB, Piras B, Marotto MF, Orru MM, Maricosu G, Pilloni M, et al. Pharmacokinetic evaluation of ulipristal acetate for uterine leiomyoma treatment. Expert Opin Drug Metab Toxicol. 2012;8:901–8.

    Article  CAS  PubMed  Google Scholar 

  23. Gainer EE, Ulmann A. Pharmacologic properties of CDB(VA)-2914. Steroids. 2003;68:1005–11.

    Article  CAS  PubMed  Google Scholar 

  24. Horak P, Mara M, Dundr P, Kubinova K, Kuzel D, Hudecek R, et al. Effect of a selective progesterone receptor modulator on induction of apoptosis in uterine fibroids in vivo. Int J Endocrinol. 2012;2012:436174.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Pohl O, Osterloh I, Gotteland JP. Ulipristal acetate—safety and pharmacokinetics following multiple doses of 10–50 mg per day. J Clin Pharm Ther. 2013;38:314–20.

    Article  CAS  PubMed  Google Scholar 

  26. Donnez J, Tatarchuk TF, Bouchard P, Puscasiu L, Zakharenko NF, Ivanova T, et al. Ulipristal acetate versus placebo for fibroid treatment before surgery. N Engl J Med. 2012;366:409–20.

    Article  CAS  PubMed  Google Scholar 

  27. Donnez J, Tomaszewski J, Vazquez F, Bouchard P, Lemieszczuk B, Baro F, et al. Ulipristal acetate versus leuprolide acetate for uterine fibroids. N Engl J Med. 2012;366:421–32.

    Article  CAS  PubMed  Google Scholar 

  28. Donnez J, Vazquez F, Tomaszewski J, Nouri K, Bouchard P, Fauser B, Barlow D, Palacios S, Donnez O, Bestel E, Osterloh I, Loumaye E, for the PEARL III and PEARL III Extension Study Group. Long-term treatment of uterine fibroids with ulipristal acetate. Fertil Steril. 2014;101(6):1565–73.e1–18. doi:10.1016/j.fertnstert.2014.02.008.

    Article  CAS  PubMed  Google Scholar 

  29. Kodama M, Onoue M, Otsuka H, Yada-Hashimoto N, Saeki N, Kodama T, Wakasa T, Funato T. Efficacy of dienogest in thinning the endometrium before hysteroscopic surgery. J Minim Invasive Gynecol. 2013;20:790–5.

    Article  PubMed  Google Scholar 

  30. Barcaite E, Bartusevicius A, Railaite R. Nadisauskiene vaginal misoprostol for cervical priming before hysteroscopy in perimenopausal and postmenopausal women. Int J Gynaecol Obstet. 2005;91:141–5.

    Article  CAS  PubMed  Google Scholar 

  31. Waddell G, Desindes S, Takser L, Beauchemin MC, Bessette P. Cervical ripening using vaginal misoprostol before hysteroscopy: a double-blind randomized trial. J Minim Invasive Gynecol. 2008;15:739–44.

    Article  PubMed  Google Scholar 

  32. Polyzos NP, Zavos A, Valachis A, Dragamestianos C, Blockeel C, Stoop D, Papanikolaou EG, Tournaye H, Devroey P, Messinis IE. Misoprostol prior to hysteroscopy in premenopausal and postmenopausal women. A systematic review and meta-analysis. Hum Reprod Update. 2012;18(4):393–404.

    Article  CAS  PubMed  Google Scholar 

  33. Yang JH, Lin BL. Changes in myometrial thickness during hysteroscopic resection of deeply invasive submucous myomas. J Am Assoc Gynecol Laparosc. 2001;8(4):501–5.

    Article  CAS  PubMed  Google Scholar 

  34. Casadio P, Youssef AM, Spagnolo E, Rizzo MA, Talamo MR, De Angelis D, Marra E, Ghi T, Savelli L, Farina A, Pelusi G, Mazzon I. Should the myometrial free margin still be considered a limiting factor for hysteroscopic resection of submucous fibroids? A possible answer to an old question. Fertil Steril. 2011;95:1764–8.

    Article  PubMed  Google Scholar 

  35. Malvasi A, Cavallotti C, Morroni M, Lorenzi T, Dell’Edera D, Nicolardi G, Tinelli A. Uterine fibroid pseudocapsule studied by transmission electron microscopy. Eur J Obstet Gynecol Reprod Biol. 2012;162:187–91.

    Article  PubMed  Google Scholar 

  36. Malvasi A, Tinelli A, Rahimi S, D’Agnese G, Rotoni C, Dell’Edera D, Tsin DA, Cavallotti C. A three-dimensional morphological reconstruction of uterine leiomyoma pseudocapsule vasculature by the Allen-Cahn mathematical model. Biomed Pharmacother. 2011;65:359–63.

    Article  PubMed  Google Scholar 

  37. Di Spiezio A, Mazzon I, Bramante S, Bettocchi S, Bifulco G, Guida M, Nappi C. Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update. 2008;14(2):101–19.

    Article  Google Scholar 

  38. Baggish MS, Brill AI, Rosensweig B, Barbot JE, Indman PD. Fatal acute glycine and sorbitol toxicity during operative hysteroscopy. J Gynecol Surg. 1993;9:137–43.

    Article  Google Scholar 

  39. Istre O, Bjoennes J, Naess R, Hornbaek K, Forman A. Postoperative cerebral oedema after transcervical endometrial resection and uterine irrigation with 1.5 % glycine. Lancet. 1994;344:1187–9.

    Article  CAS  PubMed  Google Scholar 

  40. Coccia ME, Becattini C, Bracco GL, Bargelli G, Scarselli G. Intraoperative ultrasound guidance for operative hysteroscopy. A prospective study. Reprod Med. 2000;45:413–8.

    CAS  Google Scholar 

  41. Emanuel MH, Wamsteker K. The intrauterine morcellator: a new hysteroscopic operating technique to remove intrauterinepolyps and myomas. J Minim Invasive Gynecol. 2005;12:62–6.

    Article  PubMed  Google Scholar 

  42. van Dongen H, Emanuel MH, Wolterbeek R, et al. Hysteroscopic morcellator for removal of intrauterine polyps and myomas: a randomized controlled pilot study among residents in training. J Minim Invasive Gynecol. 2008;15:466–71.

    Article  PubMed  Google Scholar 

  43. Miller C, Glazerman L, Roy K, Lukes A. Clinical evaluation of a new hysteroscopic morcellator—retrospective case review. J Med. 2009;2(3):163–6.

    Google Scholar 

  44. Greenberg JA, Adam R, Chin A, Sullivan R. Ex-vivo myoma morcellation. Data on file with Interlace Medical, Inc.; 2008.

    Google Scholar 

  45. Lukes AS. MyoSure® tissue removal system—comparative sedation study in an office setting. J Minim Invasive Gynecol. 2007;17(6 Suppl):S67.

    Google Scholar 

  46. Brooks PG. Resectoscopic myoma vaporizer. J Reprod Med. 1995;40:791–5.

    CAS  PubMed  Google Scholar 

  47. Vercellini P, Oldani S, DeGiorgi O, Cortesi II, Moschetta M, Crosignani PG. Endometrial ablation with a vaporizing electrode in women with regular uterine cavity or submucous leiomyomas. J Am Assoc Gynecol Laparosc. 1996;3:S52.

    Article  PubMed  Google Scholar 

  48. Mark H. Glasser endometrial ablation and hysteroscopic myomectomy by electrosurgical vaporization. J Am Ass Gynecol Laparosc. 1997;4(3):369–74.

    Article  Google Scholar 

  49. Bettocchi S, Di Spiezio SA, Ceci O, et al. A new hysteroscopic technique for the preparation of partially intramural myomas in office setting (OPPIuM technique): a pilot study. J Minim Invasive Gynecol. 2009;16:748–54.

    Article  PubMed  Google Scholar 

  50. Haimovich S, Mancebo G, Alameda F, Agramunt S, Sole´ JM, Hernandez JL, Carreras R. Feasibility of a new two-step procedure for office hysteroscopic resection of submucous myomas: results of a pilot study. Eur J Obstet Gynecol Reprod Biol. 2013;168:191–4.

    Article  PubMed  Google Scholar 

  51. Litta P, Vasile C, Merlin F, Pozzan C, Sacco G, Gravila P, Stelia C. A new technique of hysteroscopic myomectomy with enucleation in toto. J Am Ass Gynecol Laparoscop. 2003;10(2):263–70.

    Article  Google Scholar 

  52. Saccardi C, Conte L, Fabris A, De Marchi F, Borghero A, Gizzo S, Litta P. Hysteroscopic enucleation in toto of submucous type 2 myomas: long-term follow-up in women affected by menorrhagia. J Minim Invasive Gynecol. 2014;21(3):426–30.

    Article  PubMed  Google Scholar 

  53. Mazzon I. Nuova tecnica per la miometomia isteroscopica: enucleazione con ansa fredda. In: Cittadini E, Perino A, Angiolillio M, Minelli L, editors. Testo-Atlante di Chirurgia Endoscopica Ginecologica. Palermo: COFESE Ed; 1995, cap XXXIIIb.

    Google Scholar 

  54. Mazzon I, Favilli A, Cocco P, Grasso M, Horvath S, Bini V, Di Renzo GC, Gerli S. Does cold loop hysteroscopic myomectomy reduce intrauterine adhesions? A retrospective study. Fertil Steril. 2014;101:294–8.

    Article  PubMed  Google Scholar 

  55. Bettocchi S, Ceci O, Di Venere R, et al. Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr bipolar electrode. Hum Reprod. 2002;17:2435–8.

    Article  CAS  PubMed  Google Scholar 

  56. Bradley LD. Complications in hysteroscopy: prevention, treatment and legal risk. Curr Opin Obstet Gynecol. 2002;14:409–15.

    Article  PubMed  Google Scholar 

  57. Vilos GA. Hysteroscopic surgery: Indication, contraindications and complications. London: Taylor & Francis; 2004.

    Google Scholar 

  58. Bahar R, Shimonovitz M, Benshushan A, Shushan A. Case–control study of complications associated with bipolar and monopolar hysteroscopic operations. J Minim Invasive Gynecol. 2013;20:376–80.

    Article  PubMed  Google Scholar 

  59. Van Kerkvoorde TC, Veersema S, Timmermans A. Long-term complications of office hysteroscopy: analysis of 1028 cases. J Minim Invasive Gynecol. 2012;19:494–7.

    Article  PubMed  Google Scholar 

  60. Arieff AI. Hyponatremia associated with permanent brain damage. Adv Intern Med. 1987;32:325–44.

    CAS  PubMed  Google Scholar 

  61. Ayus JC, Wheeler JM, Arieff AI. Postoperative hyponatremic encephalopathyin menstruant women. Ann Intern Med. 1992;117:891–7.

    Article  CAS  PubMed  Google Scholar 

  62. Vilos GA, Brown S, Graham G, McCulloch S, Borg P. Genital tract electrical burns during hysteroscopic endometrial ablation: report of 13 cases in the United States and Canada. J Am Assoc Gynecol Laparosc. 2000;7:141–7.

    Article  CAS  PubMed  Google Scholar 

  63. Vilos GA, McCulloch S, Borg P, Zheng W, Denstedt J. Intended and stray radiofrequency electrical currents during resectoscopic surgery. J Am Assoc Gynecol Laparosc. 2000;7:55–63.

    Article  CAS  PubMed  Google Scholar 

  64. Munro MG. Mechanisms of thermal injury to the lower genital tract with radiofrequency resectoscopic surgery. J Minim Invasive Gynecol. 2006;13:36–42.

    Article  PubMed  Google Scholar 

  65. Giatras K, Berkeley AS, Noyes N, Licciardi F, Lolis D, Grifo JA. Fertility after hysteroscopic resection of submucous myomas. J Am Assoc Gynecol Laparosc. 1999;6:155–8.

    Article  CAS  PubMed  Google Scholar 

  66. Taskin O, Sadik S, Onoglu A, Gokdeniz R, Erturan E, Burak F, Wheeler J. Role of endometrial suppression on the frequency of intrauterine adhesions after resectoscopic surgery. J Am Assoc Gynecol Laparosc. 2000;7(3):351–4.

    Article  CAS  PubMed  Google Scholar 

  67. Yang J, Chen M, Wu MY, Chao KH, Ho HN, Yang YS. Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas. Fertil Steril. 2008;89:1254–9.

    Article  PubMed  Google Scholar 

  68. Cicinelli E. Hysteroscopy without anesthesia: review of recent literature. J Minim Invasive Gynecol. 2010;17:703–8.

    Article  PubMed  Google Scholar 

  69. Pellicano M, Guida M, Zullo F, Lavitola G, Cirillo D, Nappi C. Carbon dioxide versus normal saline as uterine distension medium for diagnostic vaginoscopic hysteroscopy in fertile patients: a prospective randomized, multicenter study. Fertil Steril. 2003;79:418–21.

    Article  PubMed  Google Scholar 

  70. Shankar M, Davidson A, Taub N, Habiba M. Randomized comparision of distension media for outpatient hysteroscopy. BJOG. 2004;111:57–62.

    Article  PubMed  Google Scholar 

  71. Cooper NA, Smith P, Khan KS, et al. Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain. BJOG. 2010;117:532–9.

    Article  CAS  PubMed  Google Scholar 

  72. Saridogan E, Tilden D, Sykes D, Davis N, Subramanian D. Cost-analysis comparison of outpatient see-and-treat hysteroscopy service with other hysteroscopy service models. J Minim Invasive Gynecol. 2010;17:518–25.

    Article  PubMed  Google Scholar 

  73. Lobo P, Rubio J, Cabrera Y, Duch S, Alvarez J. Economic analysis of outpatient versus day-case operative hysteroscopy. A progressive scenario model. Prog Obstet Ginecol. 2014;57(4):155–63.

    Article  Google Scholar 

  74. Subramanian S, Clark MA, Isaacson K. Outcome and resource use associated with myomectomy. Obstet Gynecol. 2001;98:583–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sergio Haimovich MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Haimovich, S., Eliseeva, M., Mynbaev, O.A. (2015). Hysteroscopic Myomectomy. In: Tinelli, A., Malvasi, A. (eds) Uterine Myoma, Myomectomy and Minimally Invasive Treatments. Springer, Cham. https://doi.org/10.1007/978-3-319-10305-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-10305-1_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10304-4

  • Online ISBN: 978-3-319-10305-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics