@Article{Piecak2017,
journal="Menopause Review/Przegląd Menopauzalny",
issn="1643-8876",
volume="16",
number="4",
year="2017",
title="Hysteroscopic myomectomy",
abstract="A new International Federation of Gynecology and Obstetrics classification for myomas was recently described. Type 0, 1 and 2 are the submucosal fibroids. Submucous myomas represent one of the main indications for operative hysteroscopy. Hysteroscopic resection of submucous fibroids should be a simple, well-tolerated procedure and ideally finished in a single surgical step. Hysteroscopic myomectomy is an effective procedure. Fertility outcome and menorrhagia are improved by this procedure. However, for menorrhagia, a recurrence can occur mainly during the first year following the surgery. For bleeding outcome, a success rate from 70 to 99% has been reported by different studies. The success rate seems to decline as the follow- up period increases. For fertility outcome, submucosal fibroids have negative impact on pregnancy rates. The size of the fibroids plays a crucial role in completing the hysteroscopic myomectomy in a single step. A diameter greater than 3 cm in type 2 myomas results in a higher risk of a multiple procedure.",
author="Piecak, Karolina
and Milart, Paweł",
pages="126--128",
doi="10.5114/pm.2017.72757",
url="http://dx.doi.org/10.5114/pm.2017.72757"
}