Hysteroscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids (noncancerous growths) from the uterus. The procedure is performed using a hysteroscope, a thin, lighted instrument with a camera, which is inserted through the vagina and cervix to access the uterus. This allows the surgeon to visualize and remove the fibroids without making any incisions in the abdomen.