Predictive Factors for Complete Myoma Resection During Hysteroscopic Myomectomy
Keywords
Abstract
Description
Overall, 10% of all uterine myomas are submucosal. These myomas spread into the uterine cavity, lifting the endometrial mucosa, and are a common cause of abnormal uterine bleeding, dysmenorrhea, early miscarriage and they may be a cause of infertility.
Hysteroscopic myomectomy is the surgical procedure of choice for the treatment of submucosal myomas, because it is minimally invasive and has the advantage of preserving the integrity of the uterine wall.
The characteristics of the myomas (size, number and location) enables the surgeon to choose the surgical approach that will provide the best outcome for the patient, and may predict the chances of a complete hysteroscopic resection of myomas in one procedure.
Dates
| Last Verified: | 06/30/2020 |
| First Submitted: | 05/18/2020 |
| Estimated Enrollment Submitted: | 05/20/2020 |
| First Posted: | 05/25/2020 |
| Last Update Submitted: | 07/25/2020 |
| Last Update Posted: | 07/27/2020 |
| Actual Study Start Date: | 12/31/2014 |
| Estimated Primary Completion Date: | 11/30/2020 |
| Estimated Study Completion Date: | 11/30/2020 |
Condition or disease
Intervention/treatment
Diagnostic Test: Women with uterine myomas undergoing hysteroscopic myomectomy
Behavioral: Women with uterine myomas undergoing hysteroscopic myomectomy
Procedure: Women with uterine myomas undergoing hysteroscopic myomectomy
Phase
Arm Groups
| Arm | Intervention/treatment |
|---|---|
| Women with uterine myomas undergoing hysteroscopic myomectomy | Diagnostic Test: Women with uterine myomas undergoing hysteroscopic myomectomy Transvaginal ultrasonographic scan aims to evaluate number, size (diameter and volume), location and appearance of submucous uterine myomas, concomitant presence of adenomyosis |
Eligibility Criteria
| Ages Eligible for Study | 18 Years To 18 Years |
| Sexes Eligible for Study | Female |
| Sampling method | Non-Probability Sample |
| Accepts Healthy Volunteers | No |
| Criteria | Inclusion Criteria: - patients with ultrasonographic diagnosis of uterine myomas Exclusion Criteria: - patients with previous incomplete hysteroscopic myoma resection; - patients undergoing additional surgical procedures performed by hysteroscopy (such as, resection of endometrial polyps); - patients undergoing associated non-hysteroscopic surgical procedures; - patients with severe cardiovascular disease, decompensated diabetes and severe hematologic disorders |
Outcome
Primary Outcome Measures
1. Number of patients with complete resection of myomas [At the end of the hysteroscopic procedure]
