Hysteroscopic myomectomy scores over open omectoim in alb of the following except:
Ans. c. Less bleeding Possible risk or complication of open myomectomy is excessive bleeding during the operation requiring blood transfusion, anemia due to blood loss during the operation and in post-operative period. During hysteroscopic myomectomy, intraoperative bleeding is rare. Bleeding is unlikely unless vessels are lacerated or injured in the cervical canal or lower uterine segment during dilation or deep ablation or vaporization. Hysteroscopic Myomectomy Hysteroscpic myomectomy involves inseing a hysteroscope through the vagina and the cervix into the uterus. Hysteroscopes are so thin that they can fit through the cervix with minimal or no dilation. Because the instruments are inseed through the cervix, no abdominal incisions are needed. A resectoscope, which is a hysteroscope fitted with a wire loop that uses high-frequency electrical current to cut or coagulate tissue, is then inseed to remove the fibroids. The loop is placed around the fibroid, electrical energy passes through the loop, and the fibroid is cut loose. The fibroid can then be removed through the vagina. Advantages of Hysteroscpic Myomectomy: This procedure is most often done on an "outpatient" basis under general anesthesia. There is usually minimal discomfo during hysteroscopy. It takes about 60 minutes to complete the procedure, which is followed by a few hours of recovery time. Hysteroscopy can be used to remove fibroids on the inner wall of the uterus that have not grown deep into the uterine wall. Complications occur less than 1% of the time with hysteroscopic myomectomy. During hysteroscopic myomectomy, intraoperative bleeding is rare. Bleeding is unlikely unless vessels are lacerated or injured in the cervical canal or lower uterine segment during dilation or deep ablation or vaporization
Less recurrence
Less post-operative pain
Less bleeding
Early ambulation