Cold loops applied to @entity162 : A safe "one-step" myomectomy for treatment of XXXX with intramural development.

@entity1 @entity162 @entity1868 @entity249
AIM: To assess the safety and efficacy of cold loop myomectomy applied to @entity162 to perform "one-step" myomectomy of @entity1868 with intramural involvement. METHODS: Seventy-two @entity1 with at least one symptomatic G1 or G2 @entity1868 (Wamsteker's classification) underwent cold loop myomectomy from January 2011 to January 2013. All surgical procedures were performed using a 26Fr resectoscope and bipolar energy source. At one month after the procedure, all @entity1 underwent an office hysteroscopy check-up. A subgroup of seven @entity249 @entity1 underwent an office hysteroscopy every two-weeks to evaluate recovery time of the myometrial fovea. RESULTS: Resectoscopic myomectomies were successfully performed in one surgical step in 70 out of 72 @entity1 without any significant complications. Overall, the mean diameter of resected @entity1868 was 32.2        9 mm. Median operative time was 34.2        24.1 min. Median fluid deficit was 761.22        480.34 ml. The fovea was almost completely restored (>80%) six weeks after surgery in six of the seven @entity249 @entity1 who underwent repeated follow-up office hysteroscopies every two weeks. CONCLUSIONS: Data from the present study show that the use of cold loops applied to @entity162 represent an effective, safe technique for "one-step" myomectomy of @entity1868 , allowing rapid recovery of the myometrial fovea.
