| Autor: |
M Brigid, Holloran-Schwartz, Kallie, Harrison, Richard, Gimpelson |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
The Journal of reproductive medicine. 59(11-12) |
| ISSN: |
0024-7758 |
| Popis: |
Hysteroscopic myomectomy is the ideal procedure for symptomatic women with submucosalfibroids who desire to preserve their fertility. Vascular myomas can limit visualization when a mechanical morcellator is used. Injection of a dilute vasopressin solution has been shown to decrease blood loss during laparoscopic myomectomy. To date, direct injection of a dilute vasopressin during hysteroscopic myomectomy has not been described.Our first patient's hysteroscopic myomectomy of a vascular submucosal myoma had to be terminated before complete resection due to impaired visualization and maximum fluid overload. During a subsequent patient's procedure, direct injection ofa dilute vasopressin through the operative port decreased intraoperaftve bleeding and enabled complete resection.Injecting a dilute vasopressin solution directly into a vascular submucosal myoma during hysteroscopic resection can assist with hemostasis and visualization, enabling complete resection. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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