Hysteroscopic Myomectomy (closed) is an operation to remove intrauterine myoma.
What Are Intrauterine Myomas? How is it detected?
Intrauterine, that is, sub-mucous myomas, are myomas that originate from the inner part of the uterus called the endometrium layer and can reach quite large sizes. In particular, they may present with long bleeding, painful menstruation, menstrual irregularity, infertility and recurrent pregnancy losses. These myomas can be easily detected using ultrasound.
How is hysteroscopic myoma surgery performed?
Using a special optical and carrier channel, it is entered through the cervix and the myoma is sliced piece by piece with the help of cautery. Then, these cut myoma pieces are taken out of the uterus. This procedure is called operative hysteroscopy. Before this procedure is applied, the cervix is expanded and the system where the procedure will be performed is placed in the uterus.
In the meantime, the inside of the uterus is inflated with special liquids. Then, the myoma is found and cut piece by piece with the help of electro cautery. While myomas up to 3 cm can be easily removed, myomas over 3 cm can be removed more difficult, so the size of the myomas can be reduced with special medications beforehand. Smaller myomas can also be removed using a simpler, smaller tool. This procedure is called office Hysteroscopy. Especially in the bipolar system, these surgeries are also a more reliable method. In our clinic, closed myoma removal surgery with bipolar system is successfully performed.