Over the course of his career, obstetrician and gynecologist (OBGYN) Keith Reisler, MD, Plano, Tx, has treated numerous uterine fibroids and polyps. Dr. Keith Reisler draws on an in-depth knowledge of minimally invasive techniques to offer hysteroscopic resection as a treatment option for these conditions. Due to Dr Reisler’s expertise with various removal techniques, he is able to perform many these procedures as a day surgery procedure without an incision. Many doctors without this level of training might perform these procedures with an abdominal incision as an inpatient procedure and with a much longer recovery.
Hysteroscopic resection, also known as hysteroscopic myomectomy and hyesteroscopic poypectomy, uses a specially designed surgical scope to remove uterine fibroids and polyps. To perform the procedure, the surgeon introduces a salt or sugar solution that expands the uterus and allows for better visualization of the area. Insertion of the hysteroscope enables the surgeon to view any fibroids or polyps, and to strategize removal using a looped wire. This procedure is done without making any incisions and just by dilating the cervix.
Most patients who undergo hysteroscopic resection can return home the day of the procedure. Postoperative pain is generally minimal and manageable using basic oral analgesics. Risk of infection is low, as the procedure does not involve an abdominal incision, and most patients experience no detrimental effects in terms of fertility. In fact, the procedure’s history features high pregnancy rates among those patients whose fibroids have interfered with conception.