A Hamidouche1, M Vincienne1, T Thubert2, C Trichot1, G Demoulin1, A Nazac3, H Fernandez3, A-L Rivain3, X Deffieux4. 1. Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France. 2. Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France; Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France. 3. Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France. 4. Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France; Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France. Electronic address: xavier.deffieux@abc.aphp.fr.
Abstract
OBJECTIVE: To evaluate the results associated with hysteroscopic morcellation for submucous myomas removal, and to compare with those observed associated with bipolar loop resection. MATERIELS AND METHODS: A retrospective comparative study was conducted in two universitary centers from January 2012 to December 2013. A total of 83 patients, who presented with submucous myomas type 0,1 and 2, were included. The number of myomas type 0,1 was 36 (71 %) and 15 (29 %) myomas type 2 in morcellation group versus 44 (59 %) myomas type 0,1 and 31 (41 %) type 2 in electrosurgical resection group (P=0.17). Hysteroscopic morcellation or electrosurgical resection with bipolar loop for removal submucous myomas were performed. RESULTS: Thirty-four patients underwent hysteroscopic morcellation using MyoSure(®), and 49 had hysteroscopic resection using Versapoint-24F(®) bipolar loop. The mean operative duration was 30minutes in morcellation group, compared to 31minutes in bipolar resection group (P=0.98). Complete myoma removal was achieved in 22 (64 %) patients in morcellation group, and in 34 (69 %) in bipolar resection group (P=0.65). There were no difference in the occuring of adverse events between the two. The prevalence of postoperative intra-uterine adherence was 10 % in morcellation group and 13.8 % in bipolar resection group (P=0.69). CONCLUSION: In the current short comparative series, hysteroscopic morcellation and bipolar loop resection were associated with comparable results for removal of submucous myomas.
OBJECTIVE: To evaluate the results associated with hysteroscopic morcellation for submucous myomas removal, and to compare with those observed associated with bipolar loop resection. MATERIELS AND METHODS: A retrospective comparative study was conducted in two universitary centers from January 2012 to December 2013. A total of 83 patients, who presented with submucous myomas type 0,1 and 2, were included. The number of myomas type 0,1 was 36 (71 %) and 15 (29 %) myomas type 2 in morcellation group versus 44 (59 %) myomas type 0,1 and 31 (41 %) type 2 in electrosurgical resection group (P=0.17). Hysteroscopic morcellation or electrosurgical resection with bipolar loop for removal submucous myomas were performed. RESULTS: Thirty-four patients underwent hysteroscopic morcellation using MyoSure(®), and 49 had hysteroscopic resection using Versapoint-24F(®) bipolar loop. The mean operative duration was 30minutes in morcellation group, compared to 31minutes in bipolar resection group (P=0.98). Complete myoma removal was achieved in 22 (64 %) patients in morcellation group, and in 34 (69 %) in bipolar resection group (P=0.65). There were no difference in the occuring of adverse events between the two. The prevalence of postoperative intra-uterine adherence was 10 % in morcellation group and 13.8 % in bipolar resection group (P=0.69). CONCLUSION: In the current short comparative series, hysteroscopic morcellation and bipolar loop resection were associated with comparable results for removal of submucous myomas.
Authors: Salvatore Giovanni Vitale; Fabrizio Sapia; Agnese Maria Chiara Rapisarda; Gaetano Valenti; Fabrizia Santangelo; Diego Rossetti; Benito Chiofalo; Giuseppe Sarpietro; Valentina Lucia La Rosa; Onofrio Triolo; Marco Noventa; Salvatore Gizzo; Antonio Simone Laganà Journal: Biomed Res Int Date: 2017-08-29 Impact factor: 3.411
Authors: M Franchini; O Ceci; P Casadio; J Carugno; G Giarrè; G Gubbini; U Catena; M Chiara de Angelis; A Di Spiezio Sardo Journal: Facts Views Vis Obgyn Date: 2021-06-10