The value of laparoscopic removal of subendometrial fibroids

Introduction: Submucous myomas and intramural myomas which protrude in the endometrial cavity affect a significant proportion of reproductive age women and may cause excessive menstrual bleeding and adverse reproductive outcomes. Hysteroscopic myomectomy by means of resectoscopic removal is considered the golden standard for their treatment. However, it may cause significant damage to endometrial line leading to the formation of endometrial synechiae and possible infertility. Moreover, the hysteroscopic approach does not permit always complete removal of the fibroid; thus, resulting in recurrences.