{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:22:43Z","timestamp":1785900163318,"version":"3.56.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We present a step-by-step approach for hysteroscopic myomectomy in patients with submucosal fibroids, focusing on key surgical techniques that enhance safety, preserve uterine integrity, and ensure complete fibroid removal. A 49-year-old woman with heavy menstrual bleeding presented with a type I submucosal fibroid measuring 32\u2009\u00d7\u200923\u2009\u00d7\u200920\u00a0mm. The procedure was performed using a 27 Fr bipolar resectoscope. Intraoperative strategies include: minimal cervical dilation to reduce fluid leakage, continuous saline infusion with controlled suction for optimal visibility, avoidance of repeated scope removal to maintain intrauterine pressure and identification of myometrial margins to ensure complete resection and prevent perforation. This video highlights essential surgical techniques and intraoperative considerations for performing safe and effective hysteroscopic myomectomy. Attention to fluid management, visualization, and preservation of cervical and uterine integrity is critical for optimal outcomes, especially in women with prior uterine surgery or fertility concerns.<\/jats:p>","DOI":"10.1093\/jscr\/rjag055","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T12:38:35Z","timestamp":1769258315000},"source":"Crossref","is-referenced-by-count":1,"title":["Tips and tricks for hysteroscopic resection of a large type I submucosal fibroid: a video presentation"],"prefix":"10.1093","volume":"2026","author":[{"given":"Alexandros","family":"Fotiou","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Saint Mary\u2019s Hospital, Manchester University NHS Foundation Trust, Oxford Road, Manchester M13 9WL,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Heck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Saint Mary\u2019s Hospital, Manchester University NHS Foundation Trust, Oxford Road, Manchester M13 9WL,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Mathur","sequence":"additional","affiliation":[{"name":"Developmental Biology and Medicine, School of Medical Sciences, The University of Manchester , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Tsampras","sequence":"additional","affiliation":[{"name":"Developmental Biology and Medicine, School of Medical Sciences, The University of Manchester , Manchester ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"2026021213531081200_ref1","doi-asserted-by":"publisher","first-page":"1802","DOI":"10.5114\/aoms\/171786","article-title":"Global epidemiological characteristics of uterine fibroids","volume":"19","author":"Li","year":"2023","journal-title":"Arch Med Sci"},{"key":"2026021213531081200_ref2","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.fertnstert.2024.02.049","article-title":"Uterine fibroid-related infertility: mechanisms and management","volume":"122","author":"Donnez","year":"2024","journal-title":"Fertil Steril"},{"key":"2026021213531081200_ref3","doi-asserted-by":"publisher","first-page":"211.e1\u20139","DOI":"10.1016\/j.ajog.2011.12.002","article-title":"The estimated annual cost of uterine leiomyomata in the United States","volume":"206","author":"Cardozo","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"2026021213531081200_ref4","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ijgo.2010.11.011","article-title":"FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age","volume":"113","author":"Munro","year":"2011","journal-title":"Int J Gynaecol Obstet"},{"key":"2026021213531081200_ref5","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s10397-016-0983-z","article-title":"BSGE\/ESGE guideline on management of fluid distension media in operative hysteroscopy","volume":"13","author":"Umranikar","year":"2016","journal-title":"Gynecol Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag055\/66866315\/rjag055.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag055\/66866315\/rjag055.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T18:53:19Z","timestamp":1770922399000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag055\/8475523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,1,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag055","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,31]]},"article-number":"rjag055"}}