Hysteroscopic myomectomy in the Republic of Korea is a safe, incision-free technique. Complication rates are typically between 1% and 13%. Specialists at facilities like Seoul Miz Hospital use saline distension and hysteroscopes. They remove fibroids while preserving the uterus and fertility for Australian patients.
- Uterine perforation: Occurs in 1–2 per 1,000 cases when instruments puncture the uterine wall.
- Fluid overload: Absorption of distension liquid can cause electrolyte imbalances or kidney issues.
- Haemorrhage risk: Excessive bleeding may require intervention or, in rare cases, emergency hysterectomy.
- Incomplete removal: Fibroids over 3–5 cm often require a second planned surgical session.
- Future pregnancy: A small risk of uterine rupture exists during subsequent labour and delivery.
Bookimed Expert Insight: While hysteroscopy is standard, Seoul Miz Hospital performs over 10,000 fibroid treatments using the Da Vinci robotic system. This is a vital alternative for deep myometrial invasion cases. In those cases, traditional hysteroscopy might lead to incomplete removal or uterine scarring.
Patient Consensus: Surgeons in South Korea carefully monitor saline absorption limits. This prevents fluid overload during longer procedures. Patients report quick recoveries. However, they suggest planning for potential spotting or a second session if fibroids are large.