An experienced OB/GYN with over 30 years of experience providing comprehensive care in Plano, TX, Keith Reisler, MD, is passionate about educating his patients on all available treatment options for their unique situation. With an emphasis on preventive women’s care, Dr. Keith Reisler specializes in minimally invasive procedures, including endometrial ablation, operative laparoscopy, and operative hysteroscopy.
Hysteroscopic resection for fibroid removal is a minimally invasive surgical procedure that enables the removal of fibroids that are located inside the uterus. Uterine fibroids are non-cancerous tumors that result from abnormal growth of the muscles and tissues lining the wall of the uterus.
During hysteroscopic resection, the surgeon directs an instrument called a hysteroscope through the vagina and the opening of the cervix, a narrow canal between the vagina and the uterus. For hysteroscopic resection of fibroid tissue, the hysteroscope holds a special camera around its tip. The camera helps visualize the interior of the uterus. By passing a small surgical device through the hysteroscope and maneuvering it, the surgeon removes the fibroid in fragments.
Typically, hysteroscopic resection completely removes the uterine fibroid in a single procedure. For large fibroids, doctors may perform the surgery twice, with a six to eight-week gap between the operations. A two-stage procedure is also the ideal option for removing fibroids that are partly embedded in the uterine wall, to mitigate the risk of injuring the wall. The uterus will contract over time, pushing the remaining fibroid into the cavity and enabling safe extraction during the second operation.
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