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      저자 : Nuria-Laia Rodríguez-Mias (검색결과 1 건)
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        Hysteroscopic myomectomy without anesthesia

        Nuria-Laia Rodríguez-Mias,Montserrat Cubo-Abert,Laura Gomila-Villalonga,Juanjo Gómez-Cabeza,Jose Luis Poza-Barrasús,Antonio Gil-Moreno 대한산부인과학회 2019 Obstetrics & Gynecology Science Vol.62 No.3

        ObjectiveScarce literature about myoma removal without anesthesia has been published. The aim of this paper is to evaluatethe feasibility of a new alternative for a hysteroscopic myomectomy in a conventional office setting, without need foranesthesia. MethodsStep-by-step description of the surgical technique has been provided, based on video images. An office hysteroscopywas performed in a Gynecological Endoscopy Department of a tertiary European hospital. ResultsA 49-year-old woman was referred for management of severe hypermenorrhea. Consent and approval were receivedfrom the patient and the institutional review board, respectively. The introduction of a Truclear® hysteroscopicpolyp morcellator of 5.5 mm with optic of 0 degrees into the uterine cavity did not require any kind of anesthesia orcervical dilatation. The use of saline flow helped distend the cavity and identify a submucosal myoma. Under directvision, a full myomectomy was performed via mechanical energy with continuous cutting movements, without anycomplication. After the procedure was completed, the excised material was aspirated through the device into acollecting pouch. A successful complete morcellation of a Type-0 submucosal leiomyoma with a polyp morcellatordevice was performed in an outpatient setting. Good medical results, good tolerance by the patient besides lowersurgical risks due to mechanical instead of electrical energy are shown. ConclusionIn conclusion, this video demonstrates that a hysteroscopic myomectomy can be performed successfully in office withlower risk of complications from the procedure and without use of general anesthesia besides good tolerance by thepatient.

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