dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorLasmar, Ricardo Bassil
dc.creatorBarrozo, Paulo Roberto Mussel
dc.creatorDa Rosa, Daniela Baltar
dc.creatorDias, Rogerio
dc.date2014-05-27T11:22:28Z
dc.date2016-10-25T18:23:52Z
dc.date2014-05-27T11:22:28Z
dc.date2016-10-25T18:23:52Z
dc.date2007-06-01
dc.date.accessioned2017-04-06T01:24:55Z
dc.date.available2017-04-06T01:24:55Z
dc.identifierGynecological Surgery, v. 4, n. 2, p. 149-152, 2007.
dc.identifier1613-2076
dc.identifier1613-2084
dc.identifierhttp://hdl.handle.net/11449/69672
dc.identifierhttp://acervodigital.unesp.br/handle/11449/69672
dc.identifier10.1007/s10397-006-0242-9
dc.identifier2-s2.0-34250716396
dc.identifierhttp://dx.doi.org/10.1007/s10397-006-0242-9
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/890882
dc.descriptionThis is a case report of a 39-year-old black woman, nulliparous, married who presented a heavy menstrual flow with clots and dysmenorrhea. Gynaecological examination of the uterus revealed RVF, mobility, no pain, slight enlargement, and right displacement. Magnetic resonance imaging (MRI) of the pelvis showed a 40 mm submucous fibroid with intramural component less than 50%, type 1, with a 3 mm distance from serosa. In an office hysteroscopy, it was noted a 40 mm submucous fibroid with an intramural component with less than 50%, type 1, classified in STEP-W submucous fibroids classification as a Score 6, Group II. The patient was submitted to partial hysteroscopic myomectomy, removing 60% of the fibroid volume in a 48.75-minute surgery. GnRH analogue was indicated for 3 months before another intervention. In the second evaluation MRI revealed a 22 mm-fibroid with intramural component more than 50%, type 2, with a 7 mm distance from serosa. Hysteroscopy found a 20 mm submucous fibroid, with intramural component more than 50%, type 2, Score 4, Group I on STEP-W classification. The patient was submitted to a second hysteroscopic myomectomy with complete removal and 10.5 minutes operating time, without complications. © 2006 Springer-Verlag.
dc.languageeng
dc.relationGynecological Surgery
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectHysteroscopic myomectomy
dc.subjectHysteroscopy
dc.subjectSubmucous fibroid
dc.subjectgonadorelin derivative
dc.subjectadult
dc.subjectcase report
dc.subjectdisease classification
dc.subjectdrug indication
dc.subjectfemale
dc.subjectgynecological examination
dc.subjecthuman
dc.subjecthysteroscopy
dc.subjectmyomectomy
dc.subjectnuclear magnetic resonance imaging
dc.subjectpatient safety
dc.subjectsecond look surgery
dc.subjectserosa
dc.subjectsurgical technique
dc.subjecttreatment outcome
dc.subjectuterus myoma
dc.titleHysteroscopic myomectomy in a submucous fibroid 3 mm from the serosa: A case report - Case report from the endoscopy service of Ginendo-RJ
dc.typeOtro


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