Slide 14

This is a step-by-step procedure called stereoscopic myomectomy to remove a semi-cosal fibroid. The patient will receive anesthesia and antibiotics, and the perineum and vagina will be cleaned. The cervix will be dilated to allow for a hysteroscope with a camera. Saline is used to distend the uterus for better visibility. The surgeon will locate and remove the fibroid using a wire loop resectoscope with electricity. The fibroid pieces are then taken out through the vagina, and bleeding will be stopped if needed. Now, let's go step-by-step of this procedure, the stereoscopic myomectomy, to remove a semi-cosal fibroid. The patient's going to get anesthesia and prophylactic antibiotics. Then the perineum and the vagina will be cleaned with antiseptic. Sterile drapes will be placed, and only the perineum is exposed. The cervix will be dilated to allow for passage of a large-diameter hysteroscope with an attached camera. Fluids such as saline is then used to distend the uterine cavity for optimal visualization. The surgeon's going to inspect the uterus and identify the fibroids, or fibroid, expected. Using a wire loop resectoscope with electricity, the surgeon will shave pieces from the fibroid until the fibroid is completely removed. Then the pieces of the fibroid are removed through the vagina, and if necessary, any bleeding will be controlled.