Hysteroscopic View Submucous Fibroid
Hysteroscopic fibroid removal is a technique that can be performed for fibroids which are within or bulging into the uterine cavity (submucosal fibroid). Only women with submucosal fibroids are eligible for this type of myomectomy. Fibroids located within the uterine wall cannot be removed with this technique. Hysteroscopic myomectomy is an out-patient surgical procedure. Patients go home after 4-5 hours of observation in the recovery room. Recovery time is generally only few days. There are no scars on the skin after the procedure.
Hysteroscopic removal of fibroids involves inserting a small fiber-optic device called a hysteroscope through the cervix to view the uterus from the inside. Hysteroscopes are so thin that they can fit through the cervix with minimal or no dilation. Because the instruments are inserted through the cervix, no abdominal incisions are needed. A hysteroscope that uses high-frequency electrical current to cut or coagulate tissue, is then inserted to remove the fibroids or a hysteroscopic morcellator can be used instead of resectoscope to avoid the usage electrical current. The fibroid can then be removed through the cervix.
Different types of submucous fibroid
This procedure is done as an "outpatient" basis under general anesthesia. It takes about 30 - 60 minutes to complete the procedure depending on the size & number of submucous fibroid and the expertise of the surgeon.