Hysteroscopic Myomectomy
Transcervical Resection of Fibroids (TCRF).Removal of fibroids that project into the uterine cavity (submucous) with help of hysteroscope.
Submucous fibroids can cause heavy menstrual bleeding, irregular bleeding or infertility. Evidence shows that submucous fibroids that change the shape of the uterine cavity decreased pregnancy rates by 70%. Removal of these fibroids can increase in the pregnancy rates. When performed for heavy bleeding, nearly 90% of women have symptomatic relief.
Suitable for fibroids upto 4-5 cms size. Hysteroscopic removal of fibroids are done as a day care surgery in operation theatre under general anaesthesia. Time taken can be 30-60 minutes depending on the size of the fibroid. It is performed without any incisions and virtually no postoperative discomfort. A small telescope called hysteroscope, is passed through the cervix into the uterine cavity. A small camera is attached to the telescope and the view is projected on a video monitor. Once in place the fibroid is visualised and the base is identified. An electrical loop is used to shave off the fibroid completely upto the base.