The efficiency of resection techniques and the ability to remove large amounts of tissue within a relatively short operative time is an important consideration to avoid excessive fluid absorption. Technique Basic resection skills can be learned in a laboratory setting. Attach a slice of liver to a grounding pad and practice the technique as shown in Figure 2. Keep the electrode advanced about 7-8 mm. It will appear on the video monitor as occupying a half screen.
Hysteroscopic resection is very efficient in removing normal endomyometrium, polyps, and fibroids.
It is important to master hysteroscopic endometrial ablation techniques before performing resection procedures. Avoiding Complications When attempting myomectomies begin with simpler techniques such as pedunculated fibroids. Place a loop behind the fibroid, and using an Iglesias Working Element, draw only the loop towards you. Do this repeatedly until the procedure is complete. The shaving technique produces small chips that need to be periodically removed.