|Discussion in 'All Categories' started by Sweta Tiwari - Nov 8th, 2011 8:25 pm.|
|I am suffering from sumucous myoma can it be performed by hysteroscopy and can you let me know how exactly it is done.|
re: Submucous Myoma by Dr JS Chauhan - Nov 8th, 2011 8:29 pm
Dr JS Chauhan
|Dear Mrs. Sweta Tiwari
Hysteroscopic removal of submucous myoma is an ideal procedure which can be performed by a good gynecologysts. Uterine fibroids which are completely or partially inside the cavity from the uterus (submucous myomas) can often be removed with the cervix while on an instrument called a resectoscope.
A resectoscope is a special type of hysteroscope that uses a loop powered by high-frequency electrical energy to chop with the fibroid. Since the instrument experiences the cervix, no incision is essential.
This is generally done as an outpatient, and recovery typically takes a few days until most normal activity can be resumed.
Selection of patients to whom hysteroscopic elimination of fibroids is suitable is one of the most important factors in obtaining great results. Factors to consider are the size and number of fibroids, location, the share that's in the cavity and percentage that's within the wall (intramural) or the uterus, the chance that other intramural or subserous myomas would remain, and the desire for future pregnancy are some of the factors to be considered.
Fibroids that are entirely inside the uterine cavity would be the easiest to resect, and a very experienced gynecologist may be able to resect these as much as 5 cm in diameter. Most submucous fibroids are partially in the wall from the uterus.
The illustration above shows a fibroid that is about 2/3 within the cavity and 1/3 in the wall. During the process of resecting this the uterus often contracts, squeezing out the portion that is within the wall, and allowing more complete removal.
The photo below shows a sizable fibroid that is over 50 percent within the wall, as determined by MRI. This is easily the most difficult type of fibroid to get rid of hysteroscopically, especially if it is toward the top uterus.
Submucous Uterine Fibroid over 50 percent intramural. The loop is used to resect the fibroid, bite by bite, (photo on the left) until it is level using the surface. In this example a unique medication was used to help the uterus contract so virtually all of the fibroid might be squeezed in to the cavity, allowing me to totally remove it. The right photo shows the shell of where the myoma was. This will cover over and done with endometrium (the liner from the uterus). When we look at this area in a number of months with office hysteroscopy be also capable of seeing where the fibroid used to be.
Dr JS Chauhan
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.