Hysteroscopic myomectomy is mainly used for removal of submucous fibroids which are found inside the uterine cavity. While fibroids located within the uterine wall or on its outer surface cannot be removed with this technique.
Fibroids are the most commonly occurring non cancerous tumors on the uterus and are classified mainly in 3 parts; subserous ( on the outermost part ) intramural ( inside the wall ) and submucous ( inside the uterus cavity ).
Hysteroscopic myomectomy is an outpatient procedure and there will be no scars or cuts on the abdomen.
With this procedure, fibroid(s) are removed using an instrument called a hysteroscopic resectoscope, which is passed up into the uterine cavity through the vagina and cervical canal. Standard resection uses an electrosurgical wire loop to surgically remove the fibroid. High frequency underwater bipolar current is used to resect the fibroid to maximise the safety of the patient.
You will be asked to start taking clear liquids 1 hr after the surgery followed by light diet. You may be asked to walk around after you are out of the sedation.
Once your doctor is sure that you can walk without any giddiness due to anesthesia medicines; you will be discharged.
As with any surgical procedure, there are associated risks and complications which include:
Any specific risks and complications will be discussed with you prior to the procedure.