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Chapter-05 Technique of Hysteroscopic Myomectomy

BOOK TITLE: ISARCON 2017 Manual of Operative Hysteroscopy

Author
1. Kar Sujata
ISBN
9789352700752
DOI
10.5005/jp/books/14175_6
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Kar Clinics, Bhubaneswar, Kar Clinic, Advanced Infertility and IVF Center, Bhubaneswar, Odisha, India, Kar Clinic and Hospital Pvt Ltd, Bhubaneshwar, Orissa, India, Kar Clinic and Hospital Pvt Ltd, Bhubaneswar, Odisha, India, KCHPL, Bhubaneswar, Odisha, India, Kar Clinic and Hospital (P) Ltd, Bhubaneswar, Odisha, India
Chapter keywords
Hysteroscopic myomectomy, preoperative assessment, leiomyoma classification, step-W classification, intraoperative safety measure, hysteroscopic instrumentation

Abstract

This chapter presents discussion on technique of hysteroscopic myomectomy. TVS/3D myoma mapping, MRI, Diagnostic hysterolaparoscopy, and HSG/SIS are the diagnostic tests. Myometrial wall involvement and extension helps assessing level of difficulty of surgery. SM myoma is classified into grade 0, grade 1, and grade 2. New classification presented in 2010 that rate complexity and lists potential therapeutic options. Operative procedure, intraoperative safety measures, hysteroscopic instrumentation, surgical techniques, etc. are also discussed in this chapter.

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