Abstract

BUITRAGO-DUQUE, Carlos Arturo  and  VILLEGAS-SIERRA, María Isabel. Hysteroscopic resection of large fibroids: Case report. Rev Colomb Obstet Ginecol [online]. 2013, vol.64, n.4, pp.475-480. ISSN 0034-7434.

Objective: To present a surgical technique for excising large submucosal fibroids using histeroscopy. Materials and methods: We report the case of a patient with two large submucosal fibroids with intramyometrial component, undergoing hysteroscopic myomectomy at Clínica SOMA, a high-complexity institution in Medellin, Colombia. We present a hysteroscopic myomectomy technique using the resectoscope for tumor volume reduction, and the use of a dissection technique that allows to create an adequate cleavage plane for complete tumor removal. Conclusion: A technique combining the use of resectoscopy with fibroid enucleation would allow to resect large tumors with shorter operating time, lower glycine use and, consequently, a lower risk of fluid toxicity and perforations.

Keywords : Submucosal fibroid; myoma; hysteroscopy; myomectomy.

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