Hysteroscopic Resection of Submucous Myoma: A Minimally Invasive Solution

 

Understanding Submucous Myomas

Submucous myomas, also known as submucosal fibroids, are noncancerous growths that develop within the inner lining of the uterus, known as the endometrium. These fibroids can cause a variety of symptoms, including heavy menstrual bleeding, prolonged periods, pelvic pain, and fertility issues. When symptoms are severe or affect a woman’s quality of life, medical intervention is necessary. One of the most effective and minimally invasive treatments for submucous myomas is hysteroscopic resection.

What is Hysteroscopic Resection?

Hysteroscopic resection is a surgical procedure used to remove submucous myomas through the vagina, without the need for external incisions. The procedure involves the use of a hysteroscope, a thin, lighted tube equipped with a camera and surgical instruments, which allows the surgeon to visualize and remove the fibroids within the uterine cavity.

The Surgical Procedure

Hysteroscopic resection is typically performed under general or regional anesthesia. The steps involved in the procedure include:

  1. Preparation: The patient is positioned on the operating table, and anesthesia is administered to ensure comfort during the procedure.
  2. Insertion of the Hysteroscope: The hysteroscope is gently inserted through the vagina and cervix into the uterus. The camera on the hysteroscope provides a clear view of the uterine cavity on a monitor.
  3. Visualization: Saline solution is used to expand the uterine cavity, improving visibility and access to the fibroids.
  4. Resection: Specialized instruments are passed through the hysteroscope to carefully cut away and remove the submucous myomas. The resected tissue is then removed from the uterus.
  5. Completion: Once the fibroids are removed, the hysteroscope is withdrawn, and the procedure is complete. The entire process usually takes about 30 to 60 minutes, depending on the size and number of fibroids.
Dr. Sankar Dasmahapatra


Benefits of Hysteroscopic Resection

Hysteroscopic resection offers several advantages over traditional surgical methods:

  • Minimally Invasive: No external incisions are required, resulting in less postoperative pain and faster recovery.
  • Preservation of Uterine Structure: The uterus is preserved, making it a suitable option for women who wish to maintain their fertility.
  • Shorter Hospital Stay: Most patients can go home the same day or after an overnight stay.
  • Rapid Recovery: Patients can typically return to normal activities within a few days to a week.
  • Effective Symptom Relief: The procedure effectively reduces or eliminates symptoms caused by submucous myomas, such as heavy bleeding and pain.

Recovery and Aftercare

Postoperative care is crucial for a smooth recovery:

  • Rest: Patients are advised to rest for a few days following the procedure.
  • Pain Management: Over-the-counter pain relievers can help manage any discomfort.
  • Avoiding Strenuous Activities: Patients should avoid heavy lifting and vigorous exercise for a week.
  • Follow-Up Appointments: Regular follow-up visits with the doctor are necessary to monitor healing and ensure that there are no complications.

Potential Risks and Complications

While hysteroscopic resection is generally safe, there are potential risks, including:

  • Infection
  • Bleeding
  • Uterine perforation
  • Fluid overload due to the saline used during the procedure
  • Recurrence of fibroids

Choosing the Right Specialist

Selecting an experienced and skilled surgeon is vital for the success of the procedure. Dr. Sankar Dasmahapatra is a highly esteemed gynecologist in Kolkata, specializing in minimally invasive gynecological surgeries, including hysteroscopic resection of submucous myomas. Dr. Dasmahapatra’s expertise and dedication to patient care ensure that each patient receives the highest quality treatment tailored to their specific needs.

By opting for hysteroscopic resection of submucous myomas, women can experience significant relief from symptoms and an improvement in their overall quality of life, all while preserving their fertility and minimizing recovery time.

Location: Kolkata, West Bengal, India

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