{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T13:37:20Z","timestamp":1758893840473},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Transcervical resection is widely used in the management of submucosal fibroids. However, uterine perforation and thermal bowel injuries are known complications associated with the procedure. This is a case report of a 44\u2010year\u2010old woman who presented with heavy menstrual bleeding and anemia. Magnetic resonance imaging and hysteroscopy revealed multiple fibroids, including a submucosal type 1 fibroid. She had previously undergone a total proctocolectomy with intestinal pouch\u2010anal anastomosis for ulcerative colitis. Because there was a high risk of permanent colostomy in the event of a bowel injury, an electrode\u2010free, operative hysteroscopy using the Intrauterine Bigatti Shaver (IBS), a hysteroscopic morcellator system, was employed to prevent thermal bowel injury. The fibroid was completely removed using the IBS system with no complications. Therefore, we recommend the electrode\u2010free use of a hysteroscopic morcellator system in patients with a history of extensive pelvic surgery.<\/jats:p>","DOI":"10.1111\/jog.14481","type":"journal-article","created":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T14:22:16Z","timestamp":1601043736000},"page":"2450-2453","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Successful management of a submucosal fibroid using a hysteroscopic morcellator system in a patient with a history of total proctocolectomy: A case report"],"prefix":"10.1111","volume":"46","author":[{"given":"Kuniaki","family":"Ota","sequence":"first","affiliation":[{"name":"Fukushima Medical Center for Children and Women Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshifumi","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Fukushima Medical Center for Children and Women Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihito","family":"Kamo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine, Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine, Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigenori","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine, Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu","family":"Soeda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine, 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