Useful technique for submucous myomectomy under direct transcervical resectoscope observation

The transcervical resectoscope (TCR) is used for resecting a submucous myoma (SMM). Safe grasping of an SMM with forceps and its complete resection under transabdominal ultrasound (TAUS) guidance is not always easy. SMMs are slippery, making them difficult to grasp. The SMM moves right to left and a...

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Main Authors: Tatsuji Hoshino, Masumi Yanagawa, Aya Usuki Matsubayashi, Shinya Yoshioka
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-08-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213307017300011
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author Tatsuji Hoshino
Masumi Yanagawa
Aya Usuki Matsubayashi
Shinya Yoshioka
author_facet Tatsuji Hoshino
Masumi Yanagawa
Aya Usuki Matsubayashi
Shinya Yoshioka
author_sort Tatsuji Hoshino
collection DOAJ
description The transcervical resectoscope (TCR) is used for resecting a submucous myoma (SMM). Safe grasping of an SMM with forceps and its complete resection under transabdominal ultrasound (TAUS) guidance is not always easy. SMMs are slippery, making them difficult to grasp. The SMM moves right to left and anterior to posterior when the surgeon tries to grasp it with placental forceps. Surgeons could use small Martin forceps (65% smaller) to grasp SMMs safely and tightly under direct TCR (transcervical resectoscope) observation. We present a case in which this operative procedure was used to remove an SMM with Figure and Video. The benefits of this procedure are enormous and could be immeasurably important to hysteroscopists and gynecologists.
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spelling doaj.art-5e1d49c1118e43c2b4df02796db967a02022-12-21T18:54:49ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702017-08-016312012210.1016/j.gmit.2016.12.004Useful technique for submucous myomectomy under direct transcervical resectoscope observationTatsuji HoshinoMasumi YanagawaAya Usuki MatsubayashiShinya YoshiokaThe transcervical resectoscope (TCR) is used for resecting a submucous myoma (SMM). Safe grasping of an SMM with forceps and its complete resection under transabdominal ultrasound (TAUS) guidance is not always easy. SMMs are slippery, making them difficult to grasp. The SMM moves right to left and anterior to posterior when the surgeon tries to grasp it with placental forceps. Surgeons could use small Martin forceps (65% smaller) to grasp SMMs safely and tightly under direct TCR (transcervical resectoscope) observation. We present a case in which this operative procedure was used to remove an SMM with Figure and Video. The benefits of this procedure are enormous and could be immeasurably important to hysteroscopists and gynecologists.http://www.sciencedirect.com/science/article/pii/S2213307017300011hysteroscopyMartin forcepsmyomectomysubmucous myomatranscervical resectoscope
spellingShingle Tatsuji Hoshino
Masumi Yanagawa
Aya Usuki Matsubayashi
Shinya Yoshioka
Useful technique for submucous myomectomy under direct transcervical resectoscope observation
Gynecology and Minimally Invasive Therapy
hysteroscopy
Martin forceps
myomectomy
submucous myoma
transcervical resectoscope
title Useful technique for submucous myomectomy under direct transcervical resectoscope observation
title_full Useful technique for submucous myomectomy under direct transcervical resectoscope observation
title_fullStr Useful technique for submucous myomectomy under direct transcervical resectoscope observation
title_full_unstemmed Useful technique for submucous myomectomy under direct transcervical resectoscope observation
title_short Useful technique for submucous myomectomy under direct transcervical resectoscope observation
title_sort useful technique for submucous myomectomy under direct transcervical resectoscope observation
topic hysteroscopy
Martin forceps
myomectomy
submucous myoma
transcervical resectoscope
url http://www.sciencedirect.com/science/article/pii/S2213307017300011
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AT masumiyanagawa usefultechniqueforsubmucousmyomectomyunderdirecttranscervicalresectoscopeobservation
AT ayausukimatsubayashi usefultechniqueforsubmucousmyomectomyunderdirecttranscervicalresectoscopeobservation
AT shinyayoshioka usefultechniqueforsubmucousmyomectomyunderdirecttranscervicalresectoscopeobservation