F D Loffer1. 1. Department of Obstetrics and Gynecology, University of Arizona at Tucson, 3410 N. 4th Avenue, Phoenix, AZ 85013, USA.
Abstract
OBJECTIVE: To evaluate a new bipolar resectoscope that uses physiologic saline as a distending medium. DESIGN: Clinic-based, prospective, non-randomized study (Canadian Task Force classification II-2). SETTING: A free-standing ambulatory surgical facility. Patients. Eleven women with menorrhagia or menometrorrhagia and four with menorrhagia and infertility. INTERVENTION: Hysteroscopic removal of submucosal myomas with concomitant endometrial ablation in seven patients. MEASUREMENTS AND MAIN RESULTS: Complete removal of the submucosal myoma was achieved in all 15 patients. Eight patients had a European Society of Gynecologic Endoscopy type II myoma, five had a type I, and two had a type zero. Five patients had multiple myomas. There were no complications. CONCLUSIONS: The bipolar resectoscope is effective in the removal of submucosal myomas and in this series allowed completion of several cases that probably could not have been done with a traditional monopolar resectoscope.
OBJECTIVE: To evaluate a new bipolar resectoscope that uses physiologic saline as a distending medium. DESIGN: Clinic-based, prospective, non-randomized study (Canadian Task Force classification II-2). SETTING: A free-standing ambulatory surgical facility. Patients. Eleven women with menorrhagia or menometrorrhagia and four with menorrhagia and infertility. INTERVENTION: Hysteroscopic removal of submucosal myomas with concomitant endometrial ablation in seven patients. MEASUREMENTS AND MAIN RESULTS: Complete removal of the submucosal myoma was achieved in all 15 patients. Eight patients had a European Society of Gynecologic Endoscopy type II myoma, five had a type I, and two had a type zero. Five patients had multiple myomas. There were no complications. CONCLUSIONS: The bipolar resectoscope is effective in the removal of submucosal myomas and in this series allowed completion of several cases that probably could not have been done with a traditional monopolar resectoscope.
Authors: Mia Park; Min Soon Song; Byung Hun Kang; Soo Youn Song; Geon Woo Lee; Ye Won Jung; Won Kyo Shin; Young Bok Ko; Ki Hwan Lee; Heon Jong Yoo Journal: Medicine (Baltimore) Date: 2022-08-05 Impact factor: 1.817