Hysteroscopic myomectomy: surgical techniques and its role - a review

Introduction and background: Most common benign tumors of the female genital tract that we come across are uterine fibroids or leiomyoma and it occurs in about 70–80% of women over the age of 50 and in approximately 30% by the age of 35. In the recent years hysteroscopic myomectomy has emerged as most effective uterus preserving surgical treatment for submucous leiomyoma. Some of the determinants that play a vital role in selection of surgical technique are surgeons expertise, accessibility of operating instruments and myometrial invasion of the fibroid. Methods: A review of various articles on hysteroscopic myomectomy was undertaken using Google search and studies describing hysteroscopic myomectomy and its different techniques including efficacy and their role in clinical practice were included in the present study. Results: In thisstudy we have reviewed various published articles dealing with positive and negative aspects of hysteroscopic myomectomy techniquesand discussed in detail. Conclusion: The field of hysteroscopic myomectomy has immensely advanced out of all the hysteroscopic procedures that are done. It should result in complete resection of myoma without affecting the surrounding tissues. Ultimately, the choice should be individualized depending on fibroid classification, number, location, patient presenting symptoms and the surgeon’s expertise and experience.