MASTER CLASS IN MIGS: Hysteroscopic Morcellation
The Ob. Gyn News’ Master Class in Gynecologic Surgery is hosted by AAGL SurgeryU, and is edited by Dr. Charles E. Miller, a past president of the AAGL, and a long standing faculty member of SurgeryU. This month’s edition of the Master Class covers strategies for performing hysteroscopic morcellation of the uterus.
By Dr. Joseph Sanfillipo
When an endometrial polyp or a submucous myoma (type 0, by the European Society of Gynecological Endoscopy classification) is identified, options for hysteroscopic removal should be considered, especially in the infertile patient. The more advanced approach utilizes hysteroscopic morcellation. Complete containment and evacuation of intrauterine pathology can be obtained with the hysteroscopic morcellation systems Myosure (Hologic, Bedford, MA) and TRUCLEAR (Smith & Nephew, Andover, MA). Fluid management systems have expanded the ability to obtain adequate uterine cavity distension and fluid absorption monitoring. Unlike laparoscopic power morcellation, there are few if any concerns about spreading or upstaging an unsuspected leiomyosarcoma. Polypectomy is best approached from the distal end of the polyp proximally to the uterine endometrial wall.Resection times are relatively short, < 10min. on average, with modest fluid retention if at all. This video demonstrates hysteroscopic morcellation of an intrauterine polyp.
This message (including any attachments) is only for the use of the person(s) for whom it is intended. It may contain privileged, proprietary, or otherwise private information. If you are not the intended recipient, you should not copy, distribute or use this information for any purpose, and you should delete this message and inform the sender immediately. Any other use of the email by you is prohibited.
Filed under "Master Course in Gynecologic Surgery".