Hysteroscopic Myomectomy of a Large Submucosal Leiomyoma with Novel Use of Fluid Warming

Tess Chase, Stephanie Estes

Research output: Contribution to journalArticle

Abstract

Uterine myoma size is often considered a limiting factor when choosing the surgical approach to myomectomy. In this case, a 35-year-old woman presented with heavy menstrual bleeding and desire for fertility. Ultrasound performed 3 months earlier could not assess the endometrium and suggested leiomyoma. Magnetic resonance imaging of the pelvis identified a fundal submucosal myoma measuring 6.8 × 7.1 × 3.5cm. A planned staged hysteroscopic resection of the large submucosal myoma with intramural component was achieved. Unassisted conception occurred 2 months later. She delivered by cesarean section at term without complications. This case demonstrates that hysteroscopic mechanical tissue removal device combined with ultrasound guidance and a fluid warming system can complete myomectomy for very large uterine myomas without the need for laparoscopy or laparotomy.

Original languageEnglish (US)
Pages (from-to)1289-1294
Number of pages6
JournalJournal of Minimally Invasive Gynecology
Volume25
Issue number7
DOIs
StatePublished - Nov 1 2018

Fingerprint

Uterine Myomectomy
Myoma
Leiomyoma
Device Removal
Endometrium
Pelvis
Cesarean Section
Laparoscopy
Laparotomy
Fertility
Magnetic Resonance Imaging
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

@article{8f968e3079a746bab353f5e1a9b7e0ff,
title = "Hysteroscopic Myomectomy of a Large Submucosal Leiomyoma with Novel Use of Fluid Warming",
abstract = "Uterine myoma size is often considered a limiting factor when choosing the surgical approach to myomectomy. In this case, a 35-year-old woman presented with heavy menstrual bleeding and desire for fertility. Ultrasound performed 3 months earlier could not assess the endometrium and suggested leiomyoma. Magnetic resonance imaging of the pelvis identified a fundal submucosal myoma measuring 6.8 × 7.1 × 3.5cm. A planned staged hysteroscopic resection of the large submucosal myoma with intramural component was achieved. Unassisted conception occurred 2 months later. She delivered by cesarean section at term without complications. This case demonstrates that hysteroscopic mechanical tissue removal device combined with ultrasound guidance and a fluid warming system can complete myomectomy for very large uterine myomas without the need for laparoscopy or laparotomy.",
author = "Tess Chase and Stephanie Estes",
year = "2018",
month = "11",
day = "1",
doi = "10.1016/j.jmig.2018.05.002",
language = "English (US)",
volume = "25",
pages = "1289--1294",
journal = "Journal of Minimally Invasive Gynecology",
issn = "1553-4650",
publisher = "Elsevier",
number = "7",

}

Hysteroscopic Myomectomy of a Large Submucosal Leiomyoma with Novel Use of Fluid Warming. / Chase, Tess; Estes, Stephanie.

In: Journal of Minimally Invasive Gynecology, Vol. 25, No. 7, 01.11.2018, p. 1289-1294.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Hysteroscopic Myomectomy of a Large Submucosal Leiomyoma with Novel Use of Fluid Warming

AU - Chase, Tess

AU - Estes, Stephanie

PY - 2018/11/1

Y1 - 2018/11/1

N2 - Uterine myoma size is often considered a limiting factor when choosing the surgical approach to myomectomy. In this case, a 35-year-old woman presented with heavy menstrual bleeding and desire for fertility. Ultrasound performed 3 months earlier could not assess the endometrium and suggested leiomyoma. Magnetic resonance imaging of the pelvis identified a fundal submucosal myoma measuring 6.8 × 7.1 × 3.5cm. A planned staged hysteroscopic resection of the large submucosal myoma with intramural component was achieved. Unassisted conception occurred 2 months later. She delivered by cesarean section at term without complications. This case demonstrates that hysteroscopic mechanical tissue removal device combined with ultrasound guidance and a fluid warming system can complete myomectomy for very large uterine myomas without the need for laparoscopy or laparotomy.

AB - Uterine myoma size is often considered a limiting factor when choosing the surgical approach to myomectomy. In this case, a 35-year-old woman presented with heavy menstrual bleeding and desire for fertility. Ultrasound performed 3 months earlier could not assess the endometrium and suggested leiomyoma. Magnetic resonance imaging of the pelvis identified a fundal submucosal myoma measuring 6.8 × 7.1 × 3.5cm. A planned staged hysteroscopic resection of the large submucosal myoma with intramural component was achieved. Unassisted conception occurred 2 months later. She delivered by cesarean section at term without complications. This case demonstrates that hysteroscopic mechanical tissue removal device combined with ultrasound guidance and a fluid warming system can complete myomectomy for very large uterine myomas without the need for laparoscopy or laparotomy.

UR - http://www.scopus.com/inward/record.url?scp=85049298612&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049298612&partnerID=8YFLogxK

U2 - 10.1016/j.jmig.2018.05.002

DO - 10.1016/j.jmig.2018.05.002

M3 - Article

VL - 25

SP - 1289

EP - 1294

JO - Journal of Minimally Invasive Gynecology

JF - Journal of Minimally Invasive Gynecology

SN - 1553-4650

IS - 7

ER -