Varied Intrauterine Pressure- How to Ensure Complete Hysteroscopic Resection of Large Intramural Fibroids

Abstract

Study Objective

This video showcases the utilization of varied intrauterine pressure techniques to facilitate complete hysteroscopic resection of large intramural fibroids in a single procedure.

Design

This descriptive study presents the surgical technique with a visual demonstration of the procedure's execution.

Setting

The video features surgical cases where hysteroscopic myomectomy is performed for the resection of intramural fibroids using the varied intrauterine pressure technique.

Patients or Participants

Surgical cases demonstrating the implementation of varied intrauterine pressure techniques for hysteroscopic myomectomy are featured in the video.

Interventions

The video elucidates the dynamic nature of operative hysteroscopy, emphasizing the need for constant adjustment of intrauterine pressure throughout the procedure. Key concepts include strategic manipulation of pressure to optimize visualization on the one hand and minimize fluid extravasation on the other, facilitating the successful removal of large fibroids. By dynamically adjusting pressure, fibroids are enucleated from the myometrium into the cavity, enabling comprehensive resection. The technique underscores the importance of recognizing the border between the fibroid and the myometrial fascicles to prevent over-resection. Through immersive visual narration, viewers gain insight into the intricate execution of the procedure, elucidating the principles and intricacies of the varied intrauterine pressure technique.

Measurements and Main Results

The video provides a comprehensive visual guide, demonstrating step-by-step execution of the procedure from a first-person perspective. Key concepts and intricacies of the technique are elucidated through narration and animation offering viewers an immersive learning experience.

Conclusion

Varied intrauterine pressure techniques offer a promising approach for enhancing the efficacy of hysteroscopic myomectomy in the resection of large intramural fibroids. The video serves to illustrate this technique and its potential clinical applications. Achieving complete resection of large intramural fibroids through this technique has the potential to spare many patients from repeated surgeries and potential complications.