Conceptos actuales en cirugía histeroscópica: superando barreras y ampliando límites

Abstract

Within structural intracavitary pathology, submucosal myomas are more difficult to manage than polyps. Of the submucosal myomas, type 0 and type 1 are easier to treat because their separation from the underlying myometrium is technically easier. Therefore, the most complicated hysteroscopic surgeries are currently type 2 submucosal myomectomies.

We have also begun to describe the hysteroscopic management of type 3 myomas.

With this article we propose to make a review of the most relevant points for the correct treatment of this type of myoma, reviewing its diagnosis, surgical techniques, patient preparation, and how to avoid surgical complications.