Cutting-Edge Approaches: Mastering Hysteroscopic Polypectomy and Myomectomy

Abstract Purpose of Review In this review, we aim to provide a thorough and up-to-date overview of the instrumentation and techniques currently available for hysteroscopic myomectomy and polypectomy. By comparing the efficacy, safety, and practicality of various approaches, we will explore how these innovations have contributed to improved patient outcomes. Furthermore, we highlight the most recent technological advancements and examine potential future directions in the field, offering a forward-looking perspective on the continual evolution of hysteroscopic surgery. Recent Findings Advanced mechanical techniques, including hysteroscopic tissue retrieval systems and electrical devices like monopolar and bipolar resectoscopes, are widely utilized for managing endometrial polyps and submucosal fibroids. While resectoscopy has been the standard for treating submucosal myomas and polyps since the 1970s, hysteroscopic tissue retrieval systems have gained popularity due to their ease of use, shorter learning curve, and energy-free mechanical operation. We also explore the application of newer technologies such as the diode laser for management of intrauterine pathology. Summary The continuous evolution in the design and engineering of hysteroscopic tools has allowed for the miniaturization of cutting-edge technologies while improving surgical techniques, leading to more refined approaches that minimize patient discomfort and the risk of complications. Additional techniques have been suggested to overcome the current limitations of existing technology, offering innovative adaptations of available instruments and methods.