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Following the elimination of the intracavitary component using the traditional resectoscopic „slicing“ technique with a monopolar or bipolar current, the intramural component gets removed by using cold loops by exercising force in the cleavage space between the myoma and the surrounding myometrium to separate the myoma from the uterine wall. Thus, the intramural component of the myoma is transformed into an intracavitary component, which can then be removed using the traditional technique.

Giampietro Gubbini

Director Endoscopy Unit

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