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Successful strategy for the hysteroscopic myomectomy of a submucous myoma arising from the uterine fundus.

Abstract：

OBJECTIVE:To introduce a technique for hysteroscopic resection of submucous myoma arising from the uterine fundus. DESIGN:Case report. SETTING:University hospital. PATIENT(S):A 43-year-old nulliparous Japanese woman. INTERVENTION(S):An original combination technique of hysteroresectoscopy using circumferential myoma scraping, central vaporization, and intraoperative injection of prostaglandin F2alpha. MAIN OUTCOME MEASURE(S):Evaluation of clinical symptoms and imaging diagnosis. RESULT(S):Resection of a 40-mm fundal myoma was performed hysteroscopically, and the menorrhagia of the patient was remedied by the operation. CONCLUSION(S):Although large sessile fundal myomas are difficult to resect by hysteroscopic myomectomy, our original strategy may allow safe and certain surgery in such cases.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Murakami T,Tachibana M,Hoshiai T,Ozawa Y,Terada Y,Okamura K

doi

10.1016/j.fertnstert.2006.03.066

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1513.e19-22

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(06)01563-9

journal_volume

86

pub_type

杂志文章

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