Background: 39 year old patient presented with multiple uterine fibroids including fibroids within the uterine cavity (submucosal) and fibroids at the external surface of the uterus (subserosal). The fibroids were causing bleeding, causing iron deficiency anaemia and abdominal pain.
Procedure: Patient underwent hysteroscopic resection of the submucosal of the intrauterine fibroids (submucosal) using the TruClear resection device followed by laparoscopic removal of the fibroids (myomectomies). A total of 11 fibroids were removed.
The procedure was accomplished laparoscopically (key hole surgery). A Mirena intrauterine device was inserted.
Postoperative follow-up: Patient recovered well. Her bleeding has stopped. Her haemoglobin has increased to normal levels and iron levels recovered. All the laparoscopic wounds have healed.