It is a surgical procedure done from the vaginal route in which fibroids within the endometrial lining of the womb are removed. Women with endometrial fibroid are counselled to get this procedure done because of an increased chance of miscarriage if the IVF procedure is carried out.
It is usually indicated for women with:
- At least 50 % of the fibroid in the endometrial lining
- Women who are not willing to have a laparoscopic myomectomy
WHAT TO EXPECT
A hysteroscope will be inserted through the vagina and into the uterus and attached to a monitor to look at the lining of the uterus. Fluid [Normal saline] will be used to distend the cavity of the uterus so the walls can be visualized.
Instruments used for hysteroscopic myomectomy include:
- Resectoscope (the commonest instrument used),
- Hysteroscopic scissors,
- Hysteroscopic morcellation
The fibroid particles are removed from the vagina.
HOW TO PREPARE FOR PROCEDURE
Your doctor will counsel you before the procedure and you will need to give informed consent before the procedure. He would counsel you on the procedure and risks involved. The night before the procedure you will be told not to take any meals from midnight. The anaesthetist would review you and ask questions to assess your risk for anaesthesia. On the morning of the procedure, you can take a shower before you are wheeled into the theatre.
Usually, the procedure lasts 20 – 30 minutes and then you will be discharged once you have fully recovered from the effect of anaesthesia.
