i think it is the surgeon experience that determine the result of such partially save hemostatic device

I think that using bipolar is better you can use saline soulution and tge energy diffusion is really low

However with monopolar energy the deep energy diffusion is higher and you habe to use special media that has higher rate of TURP syndrome especilly for big intracavital myoma

And thus you will be limited by time

And I agree with the previous answer a good learning curve is mandatory

thanks guys. if you are doing a research in monopolar hysteroscopic surgery, what will you choose?

I recommended to change to bipolar if not possible use concomitant sonographhy to determine the depth of the myoma and train very well tge time will be limited due to turp syndrome

what is the maximum fluid deficit that you allow?

3 liter for saline

1 liter for glycocolle