Authors / metadata

  • Authors: Xiaoming Gong (1), Hua Wang (2)

  • Affiliation: 1: Zhangjiakou Maternal and Child Health Hospital Zhangjiakou, Hebei Province 075000, China
    2: Shanghai Hopemaill Hospital, Shanghai, 200090, China


DOI: 10.36205/trocar4.vid20233

Resection of Type 2 Myoma Located in the Fundus of the Uterus with Cold Knife Hysteroscopy System and Myosure Tissue Removal Suite


Type 2 myoma located in the fundus of the uterus is relatively harder to remove compared to the myoma located in the anterior or posterior wall. We described a technique using cold knife hysteroscopy system and Myosure® tissue removal suite. Myoma capsule was cut with a 3 mm scissor under direct hysteroscopy view. When the capsule is open, we use a 3 mm grasper to dissect, isolate and pull the myoma. After dilation of the cervix to Hega size of 20, A Lin’s grasper is used to hold the myoma and rotate it from the myometrium under abdominal ultrasound monitoring.

To reduce the volume of the myoma, we use a Myosure® tissue removal suite to morcellate the myoma. When the myoma size is reduced, we use Lin’s grasper to get the smaller myoma piece from the uterine cavity. A balloon was inserted into the uterine cavity to stop bleeding and prevent adhesion.



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