As a privately practicing obstetrician and gynecologist, Dr. Keith Reisler, of Plano, TX, has treated numerous cases of fibroid tumors. Keith Reisler, MD, focuses on the use of hysteroscopic resection of such tumors, so as to minimize the need for additional or more intensive treatment.
Hysteroscopic fibroid resection, also known as transcervical resection of fibroids (TCRF), uses a specially designed surgical instrument to remove growths in the uterus. The procedure uses a thin scope that can pass easily through the vagina and cervix and into the uterus, where a telescopic end enables the surgeon to view the growth. A resectoscope, which includes a wire loop and electrical current, then allows the surgeon to cut away the fibroid and draw it out through the vagina.
Performed under general anesthesia, the procedure is typically done on an outpatient basis. The operation itself lasts for approximately 60 minutes, while postoperative recovery phase can last up to 2 hours. The patient then returns home for an additional one to two days of recovery. The process can be ideal for patients with fibroids that grow from the inner lining into the uterine cavity, though those that are deeper in the uterine wall may be difficult to reach by endoscope.