Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12857/127875
Title: Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review
Authors: Vitale, Salvatore Giovanni
Sapia, Fabrizio
Rapisarda, Agnese Maria Chiara
Valenti, Gaetano
Santangelo, Fabrizia
Rossetti, Diego
Chiofalo, Benito
Sarpietro, Giuseppe
La Rosa, Valentina Lucia
Triolo, Onofrio
Noventa, Marco 
Gizzo, Salvatore 
Laganà, Antonio Simone
Keywords Plus: INTRAUTERINE MORCELLATOR;MANAGEMENT;MYOMECTOMY;REMOVAL;POLYPS;FIBROIDS
Mesh headings: Hysteroscopy;Leiomyoma;Uterine Neoplasms
Secondary Mesh headings: Female;Humans
Issue Date: 2017
Publisher: HINDAWI LTD
Journal: BioMed research international 
Abstract: 
Hysteroscopic surgery is the actual gold standard treatment for several types of intrauterine pathologies, including submucous myomas (SMs). To date, the availability of Hysteroscopic Tissue Removal systems (HTRs) opened a new scenario. Based on these elements, the aim of this article is to review the available evidence about HTRs for the management of SMs. We included 8 papers (3 prospective studies and 5 retrospective studies). A total of 283 women underwent intrauterine morcellation of SM: 208 were treated using MyoSure and 75 using Truclear 8.0. Only 3 articles reported data about procedures performed in outpatient/office setting. Only half of the included studies included type 2 SMs. HTRs significantly reduced operative time compared to traditional resectoscopy in some studies, whereas others did not find significant differences. Despite the availability of few randomized controlled trials and the cost of the instrument, according to our systematic review, the use of HTRs seems to be a feasible surgical option in terms of operative time and complications. Nevertheless, the type of SM still remains the biggest challenge: type 0 and 1 SMs are easier to manage with respect to type 2, reflecting what already is known for the "classic" hysteroscopic myomectomy.
URI: http://hdl.handle.net/20.500.12857/127875
ISSN: 23146133
DOI: 10.1155/2017/6848250
Appears in Collections:Articles

Show full item record

PubMed Central
Citations 50

24
Last Week
0
Last month
0
checked on Nov 28, 2021

SCOPUSTM   
Citations 5

66
checked on Aug 31, 2020

WEB OF SCIENCETM
Citations

79
checked on Nov 26, 2021

Page view(s) 10

1
checked on Nov 29, 2021

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.