8886 Endometrial Wound Healing Duration after Hysteroscopic Treatment of Type 2 and 3 Myomas

Abstract

<h3>Study Objective</h3> To assess the mean resolution time of the fovea after hysteroscopic treatment of type 2 and type 3 myoma. <h3>Design</h3> Prospective observational study. <h3>Setting</h3> University of Naples Federico II, Naples, Italy. <h3>Patients or Participants</h3> <b>W</b>omen aged 30-50 years, with at least one type 2 or type 3 myoma, history of infertility or uterine bleeding who underwent hysteroscopic myomectomy. <h3>Interventions</h3> <b>A</b>ll patients underwent hysteroscopic myomectomy, using a 15 Fr or 26 Fr resectoscope, either outpatient or in the operating room. All surgical procedures were performed by one expert hysteroscopist. Cold loop myomectomy applied to bipolar resectoscope was used for the removal of the intramural component of the myomas. All women underwent repeated follow-up office hysteroscopies every week after the surgical procedure for the first month and then every two weeks for the following months <h3>Measurements and Main Results</h3> Thirty-one patients with type 2 or 3 myoma with infertility (26/31) or uterine bleeding (15/31) were enrolled. The resectoscopic myomectomy was successful in all cases, without any significant complications. Overall, the mean diameter of resected myomas was 23 mm. The fovea was almost completely restored between three to six weeks after surgery in case of myomas < 2 cm and on average within 56 days for myomas of any size. The resolution was faster in women < 40 years old. No correlation was observed between the resolution time of the fovea and the different localization of the myomas <h3>Conclusion</h3> These preliminary data showed short time to resolution of the fovea in case of type 2 and 3 myomas hysteroscopically treated. The respect of the myometrium and the reduced thermal injury obtained thanks to the cold loop technique applied to bipolar resectoscope, may have influenced the resolution time of the fovea