What Is Hysteroscopic Myomectomy?
Hysteroscopic Myomectomy is a different type of myomectomy which involves removing a submucosal fibroid from the inside wall of the uterus.
To allow surgery inside the Uterus, a narrow telescope-like instrument (hysteroscope) is passed through the Cervix to visualize the Uterine cavity.Hysteroscopic
Myomectomy is possible only for smaller fibroids (less than 5cm) and only if at least one half of the fibroid bulges into the uterine cavity.
Often a laparoscopy is performed during the hysteroscopy to make sure neither the fibroid nor the surgery extends through the uterine wall.
This type of Myomectomy is performed in the operating room under general anesthesia and can be performed as an outpatient procedure.
Most patients return to normal activities within 48 hours. Attempts at pregnancy are best postponed for 60-90 days.
Possible complications of hysteroscopy include: Uterine perforation (puncture of the uterus), fluid overload (from absorption through the uterus), bleeding, and the formation of scarring inside the uterus.