Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Hysteroscopic morcellation (Truclear Morcellator System; Smith & Nephew Inc.) for treatment of uterine submucosal fibroids and endometrial polyps. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2014 Authors' conclusions Uterine fibroids (also called myomas or leiomyomas) are benign tumors that originate in the smooth muscle cells inside the wall of the uterus (myometrium). Fibroids, usually multiple, occur in varying shapes and at various sites within the uterus. Uterine fibroids are diagnosed in approximately 30% of women of reproductive age (and from 50% to 80% of African Americans) and account for nearly 40% of all hysterectomies among women in the United States. These fibroids can have a negative impact on quality of life by causing symptoms such as menorrhagia, pelvic pain, and genitourinary and reproductive disorders including infertility. In some women, they cause no symptoms unless they grow or bleed. About 5% of fibroids are submucosal, i.e., they protrude into the uterine cavity. These are classified as Type 0 if the entire lesion is contained within the uterine cavity, Type I if < 50% extends into the myometrium, and Type II if 50% of the fibroid is intramyometrial. Myomectomy is the surgical removal of fibroids while preserving the uterus, and can be accomplished through hysteroscopy, which involves the insertion of a long, thin scope into the uterus through the cervix. During hysteroscopy, fluid is constantly instilled to distend the uterus enabling direct visualization of
the endometrium. Indexing Status Subject indexing assigned by CRD MeSH Electrosurgerys; Endometrium; Female; Hysteroscopy; Polyps; Treatment Outcome; Uterine Diseases; Uterine Hemorrhage; Uterine Myomectomy; Uterine Neoplasms; Uterus Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32015000348 Date abstract record published 16/03/2015 |