Comment on “Does cold loop hysteroscopic myomectomy reduce intrauterine adhesions? A retrospective study”

6 03 2014

To the Editor:

Ivan Mazzon et al. recently published an interesting paper focusing on “the prevalence and the characteristics of intrauterine adhesions after cold loop resectoscopic myomectomy” for G1 and G2 submucous myomas (1).

Although retrospective, the large number of operated patients (688) and removed myomas (806) make this study robust and relevant. The authors interestingly concluded that “cold loop resectoscopic myomectomy of G1-G2 myomas is effective and safe, with a prevalence of postsurgical intrauterine adhesions that appears to be lower than those reported in the literature. The technique we have described could thus contribute to improving fertility, making it especially noteworthy for patients who desire pregnancy.” Read the rest of this entry »

Endoscopic loops for laparoscopic myomectomy

12 11 2010

To the Editor:

We have read with interest the recent paper by Zhao et al., describing laparoscopic myomectomy with vasopressin and loop ligation of the surgical base of fibroids’ pseudocapsule (1).

This combined approach was effective in reducing bleeding during myomectomy for large fibroids. A double technique was needed because the pseudo-capsule globally surrounds the fibroids with its peri-myomatous vessels. Therefore, the loop at the surgical base of the fibroid deals with the vessels there located, while those overlying the fibroid, the first ones to be incised by the surgeon, are pharmacologically ligated by the vasopressin. Unfortunately, the intramyometrial injection of vasopressin implies risks due to potential intravasation and serious complications have been reported with its use (2). Read the rest of this entry »

Laparoscopically Assisted Myomectomy

27 05 2009

To the Editor:

We read with interest the article entitled “Surgical management of uterine fibroids in Hesse, Germany, between 1998 and 2004” by Hesse et al (1). In doing so, we wonder how the authors identified the specific surgical route used for myomectomy and hysterectomy. Read the rest of this entry »