Table 3: Summary of hysteroscopic resection main features.
Hysteroscopic myomectomy | ||
Indications | Stable and effective control of symptoms and mass removal in symptomatic women wishing to attain future pregnancies. | |
Selection | Submucosal fibroids/Intramural fibroids protruding into the uterine cavity more than 50%. Lesions with diameter < 4 cm. | |
Advantages | Myomectomy: - Effective. - Well tolerated (good QoL). - Good fertility potentials. |
Hysteroscopy over Laparoscopy and Laparotomy: - Lower traumatic impact. - Shorter recovery time. - Lower analgesic dose. - Faster return to daily activities. - No cutaneous scar. - Lower risk of complications. |
Adverse Events | Because of the minimally invasive nature of the procedures, adverse events of myomectomy are very rare and of little impact. |