Abstract
The aim of this study is to report our experience with a novel technique, the hysteroscopic morcellator (HM), for removal of intrauterine myomas and polyps. We performed a retrospective study on 315 women undergoing operative hysteroscopy with the HM in our university-affiliated teaching hospital. We collected data on installation and operating times, fluid deficit, peri- and postoperative complications. In 37 patients undergoing myomectomy with the HM, mean installation time was 8.7 min, mean operating time, 18.2 min, and median fluid deficit, 440 mL. Three out of 37 HM procedures were converted to resectoscopy, related to a type 2 myoma. In 278 patients, mean installation and operating times for polypectomy with the HM were 7.3 min and 6.6 min, respectively. All procedures were uneventful. Implementation of the HM for removal of type 0 and 1 myomas ≤3 cm, and removal of polyps appears safe and effective.Electronic supplementary materialThe online version of this article (doi:10.1007/s10397-010-0627-7) contains supplementary material, which is available to authorized users.
Highlights
The use of hysteroscopic mono- or bipolar instruments is considered the gold standard in circumstances where scissors are not successful for removal of intrauterineElectronic supplementary material The online version of this article contains supplementary material, which is available to authorized users.T
We present our retrospective data on the hysteroscopic morcellator (HM) for removal of intrauterine myomas and polyps
We evaluated the introduction of the HM in retrospect
Summary
The aim of this study is to report our experience with a novel technique, the hysteroscopic morcellator (HM), for removal of intrauterine myomas and polyps
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