Hysteroscopic morcellation versus bipolar resection for removal of type 0 and 1 submucous myomas: a randomized trial

Since the introduction of hysteroscopic surgery, submucous myomas were preferably removed by the technique of hysteroscopic resection using electrosurgery. Although monopolar current may be more effective in cutting tissue, bipolar resection allows to use saline as irrigation fluid. The latter limits the risk of electrolyte disorders and allows for a larger fluid deficit (up to 2500  mL) and therefore more time to resect intrauterine pathology [1]. Nevertheless; hysteroscopic resection has some disadvantages, for example a rather long learning curve, a suboptimal view because of the formation of gas bubbles and swirling tissue chips, and the need to remove these chips by rein sertions of the hysteroscope or additional instruments which increases the risk of uterine perforation.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research