Hysteroscopic Resection Submucous Fibroid | Explained | Dr. Surakshith Battina скачать в хорошем качестве

Hysteroscopic Resection Submucous Fibroid | Explained | Dr. Surakshith Battina

A submucous fibroid is a type of uterine fibroid that grows just underneath the uterine lining (endometrium). It can cause heavy menstrual bleeding, prolonged menstrual periods, and potentially fertility issues, due to its proximity to the endometrial cavity where implantation of a fertilized egg would occur. Resection of submucous fibroids with a resectoscope, also known as hysteroscopic myomectomy, is a minimally invasive procedure used to remove these fibroids. Here's a brief overview of the procedure: 1. **Preparation**: The patient is usually given anesthesia to numb the area or to sleep through the procedure. The doctor may also give medication to help dilate (open) the cervix. 2. **Procedure**: The doctor inserts a hysteroscope (a thin, lighted tube) through the vagina and cervix into the uterus. A resectoscope, which is a type of hysteroscope equipped with a wire loop, rollerball, or similar device, is used to cut or coagulate tissue. 3. **Resection**: Using the resectoscope, the doctor carefully shaves off the fibroid in small pieces. The fibroid tissue is then removed through the hysteroscope. 4. **Recovery**: As it's a minimally invasive procedure, recovery is typically faster than with open surgery. Some women may experience cramping or some vaginal bleeding for a few days post-procedure. The hysteroscopic myomectomy is particularly beneficial for women who wish to maintain their fertility as it doesn't involve incisions or removal of any part of the uterus, other than the fibroid. However, as with any procedure, there are potential risks, including infection, bleeding, or perforation of the uterus. Also, not all submucous fibroids can be removed with this method, especially if they are very large or if there are too many. In such cases, a more extensive surgery might be required. As always, it's important to discuss the benefits and risks with the healthcare provider to make an informed decision.