{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T19:22:28Z","timestamp":1773948148437,"version":"3.50.1"},"reference-count":8,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Background and objectives: Hysteroscopic myomectomy is considered the gold-standard treatment of submucosal fibroids. However, it is associated with disruption of the endometrium which may lead to complications such as intrauterine adhesions and loss of functional endometrium. In this video article we describe a technique to resect Type III and Type II fibroids whilst minimising the loss of overlying endometrium.\n\nMaterials and methods: We present two patients with type II\/III submucosal fibroids with minimal or no intracavitary component. The resection technique we demonstrate comprises either making an endometrial incision or making a small opening in the overlying endometrium to expose the fibroid pseudocapsule. Subsequent steps of resection are then performed through this small opening. Thus, complete resection is achieved without further resection of the endometrium.\n\nMain outcome measures: Evidence of endometrial healing and absence of intrauterine synechiae on follow up outpatient hysteroscopy or ultrasound scan.\n\nResults: Full resection was achieved in both patients with no or minimal loss of overlying endometrium. A follow up outpatient hysteroscopy was performed 8 weeks later in the first patient, demonstrating completely healed uterine cavity. She had a successful conception and delivery following IVF treatment for male factor infertility. The second patient is currently in the process of IVF treatment.\n\nConclusions: Our technique enables endometrial preservation and potentially better reproductive outcomes following resection of type II and type III submucosal fibroids. Larger scale studies are required to elucidate long term outcomes on bigger patient population.<\/jats:p>","DOI":"10.52054\/fvvo.14.3.038","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T21:39:29Z","timestamp":1664573969000},"page":"283-285","source":"Crossref","is-referenced-by-count":10,"title":["Endometrial preservation during resection of type II and type III submucosal fibroids"],"prefix":"10.52054","volume":"14","author":[{"given":"G","family":"Vorona","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Saridogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2022,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Di Spiezio Sardo A, Mazzon I, Bramante S et al. Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update. 2008;14:101-19.","DOI":"10.1093\/humupd\/dmm041"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Garcia-Velasco JA, Acevedo B, Alvarez C et al. Strategies to manage refractory endometrium: state of the art in 2016. Reprod Biomed Online. 2016;32;474-89.","DOI":"10.1016\/j.rbmo.2016.02.001"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Pritts EA, Parker WH, Olive DL. Fibroids and infertility: an updated systematic review of the evidence. Fertil Steril. 2009;91:1215-23.","DOI":"10.1016\/j.fertnstert.2008.01.051"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Sar\u0131do\u011fan E, Sar\u0131do\u011fan E. Management of fibroids prior to in vitro fertilization\/intracytoplasmic sperm injection: A pragmatic approach. J Turk Ger Gynecol Assoc. 2019;20:55-9.","DOI":"10.4274\/jtgga.2018.0148"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Taskin O, Sadik S, Onoglu A et al. Role of endometrial suppression on the frequency of intrauterine adhesions after resectoscopic surgery. J Am Assoc Gynecol Laparosc. 2000;7:351-4.","DOI":"10.1016\/s1074-3804(05)60478-1"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Touboul C, Fernandez H, Deffieux X et al. Uterine synechiae after bipolar hysteroscopic resection of submucosal myomas in patients with infertility. Fertil Steril. 2009;92:1690-3.","DOI":"10.1016\/j.fertnstert.2008.08.108"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Yang J. H, Chen MJ, Chen CD et al. Optimal waiting period for subsequent fertility treatment after various hysteroscopic surgeries. Fertil Steril, 2013;99:2092-6.e3.","DOI":"10.1016\/j.fertnstert.2013.01.137"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Yan L, Yu Q, Zhang YN et al. Effect of type 3 intramural fibroids on in vitro fertilization-intracytoplasmic sperm injection outcomes: a retrospective cohort study. Fertil Steril. 2018;109:817-22.e2.","DOI":"10.1016\/j.fertnstert.2018.01.007"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:55:35Z","timestamp":1739512535000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.14.3.038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.14.3.038","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}