Based in Plano, TX, Keith Reisler, MD, has almost 30 years of experience as an ob-gyn and is regularly recognized as one of the best doctors in America. In addition to offering comprehensive ob-gyn services, Dr. Keith Reisler has specialized training in minimally invasive procedures, such as the hysteroscopic resection of uterine fibroids.
Hysteroscopic resection is most often used for fibroids located under the inner wall of the uterus that have grown into its inner cavity. The procedure is performed via the patient’s birth canal and involves no external cuts. Many patients are able to go home the same day, with little to no pain from the procedure.
Unlike laparoscopic procedures, which often require several incisions and may keep patients in the hospital overnight or longer, hysteroscopic procedures are performed with a small camera that has a surgical loop attached to its end. In addition to a quick recovery time, hysteroscopic resection maintains the integrity and function of the patient’s uterus so she can still become pregnant and have a normal pregnancy. However, the procedure is not without side effects, and light bleeding for up to four to six weeks is normal.
Dr Keith Reisler
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.