Myomectomy through the uterine cervix using forceps under sonographic guidance
Journal
Ultrasound in Obstetrics and Gynecology
Journal Volume
33
Journal Issue
2
Pages
228-231
Date Issued
2009
Author(s)
Abstract
OBJECTIVES: To evaluate the feasibility of a novel method of forceps myomectomy under sonographic guidance. METHODS: Between June 2005 and August 2006, we performed a prospective study to evaluate the feasibility of forceps myomectomy under sonographic guidance in patients with submucosal myomas. Patients were enrolled into the study if, on transvaginal sonographic or hysteroscopic examination, their myomas were found to have an intramural extension < 75%, absence of 'sinking' and a mean diameter < 8 cm. RESULTS: There were 28 patients with submucosal myomas including Types 0 (n = 18), 1 (n = 6) and 2 (n = 4). In 26/28 (92.8%; 95% CI, 82.6-100) patients the myomas were removed completely. The mean operating time and intraoperative blood loss were 27.3 min and 33.5 mL, respectively. The median follow-up time was 15 months. There were no perioperative complications. No patient subsequently underwent myomectomy or hysterectomy. CONCLUSIONS: In our experience, this novel method of forceps myomectomy is feasible for the removal of Type 0 and Type 1 submucosal myomas as well as selected Type 2 myomas.
SDGs
Type
journal article