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Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review
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 t...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602656/ https://www.ncbi.nlm.nih.gov/pubmed/28948169 http://dx.doi.org/10.1155/2017/6848250 |
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author | 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 |
author_facet | 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 |
author_sort | Vitale, Salvatore Giovanni |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5602656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-56026562017-09-25 Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review 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 Biomed Res Int Review Article 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. Hindawi 2017 2017-08-29 /pmc/articles/PMC5602656/ /pubmed/28948169 http://dx.doi.org/10.1155/2017/6848250 Text en Copyright © 2017 Salvatore Giovanni Vitale et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article 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 Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review |
title | Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review |
title_full | Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review |
title_fullStr | Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review |
title_full_unstemmed | Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review |
title_short | Hysteroscopic Morcellation of Submucous Myomas: A Systematic Review |
title_sort | hysteroscopic morcellation of submucous myomas: a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602656/ https://www.ncbi.nlm.nih.gov/pubmed/28948169 http://dx.doi.org/10.1155/2017/6848250 |
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