Introduction
submucous fibroids
COMPLICATION
Hysteroscopic myomectomy is the treatment of first choice for submucous fibroids. Traditionally this procedure was performed in an operating room with general anesthesia (GA) [Procedural sedation and analgesia (PSA) is a technique of administering sedative agents with or without analgesics to create a decreased level of consciousness while maintaining cardiorespiratory functions so that patients can comfortably undergo unpleasant procedures [For gynecologic procedures, less literature on the use of PSA is available. A prospective cohort that was recently published showed that the performance of several therapeutic hysteroscopic procedures—including hysteroscopic myomectomy—is safe and feasible when performed under PSA with propofol: Complication rate and incompleteness rates were low, and the majority of patients was satisfied with the procedure [