The Blooming phenomenon: a rarity, but a dilemma in hysteroscopic resection of myomas
Open Access
- 8 March 2022
- journal article
- research article
- Published by Galenos Yayinevi in Journal of the Turkish-German Gynecological Association
- Vol. 23 (1), 63-67
- https://doi.org/10.4274/jtgga.galenos.2021.2021.0006
Abstract
Modern surgical technologies allow gynecologists to treat most submucosal myomas hysteroscopically by some form of resection. What appears on imaging or direct visualization to be a submucosal myoma can be a single tumor, or may represent multiple smaller myomas appearing as one, compacted together in a typical pseudo capsule. During myoma resection, the effect of the media used to induce distension can vary, depending on the morphology of the myomas. After starting resection, the pressure of the distending media can push truly solitary myomas to somewhat flatten against the uterine wall. However, in the second type of myoma, the fluid can displace the myomas into the uterine cavity, an appearance similar to the blooming of a flower. The tip of the hysteroscope may enter the dissected spaces between the myomas, which impairs the panoramic view. This phenomenon may cause inadequate treatment of the myomas encountered during hysteroscopic myomectomy. In this study, the "Blooming phenomenon" is introduced, and the problems created by this phenomenon and solutions for its management are considered.This publication has 12 references indexed in Scilit:
- Hysterectomy A Comprehensive Surgical ApproachJournal of the Turkish-German Gynecological Association, 2017
- Hysteroscopic Morcellation of Submucous Myomas: A Systematic ReviewBioMed Research International, 2017
- Hysteroscopic myomectomyMenopausal Review, 2017
- Uterine fibroid management: from the present to the futureHuman Reproduction Update, 2016
- Hysteroscopic myomectomy: techniques and preoperative assessment.2016
- Surgical Treatment of Fibroids in Heavy Menstrual BleedingWomen's Health, 2016
- Epidemiology of Uterine Myomas: A Review2015
- Abdominal anatomy in the context of port placement and trocarsJournal of the Turkish-German Gynecological Association, 2015
- Surgical techniques and outcome in the management of submucous fibroidsCurrent Opinion in Obstetrics and Gynecology, 2013
- Submucous myomas: A new presurgical classification to evaluate the viability of hysteroscopic surgical treatment—Preliminary reportJournal of Minimally Invasive Gynecology, 2005