Case-Control Study of Complications Associated With Bipolar and Monopolar Hysteroscopic Operations

Bahar, Raz; Shimonovitz, Michal; Benshushan, Abraham; Shushan, Asher

doi:10.1016/j.jmig.2012.12.012

Cited by 20 publications

(9 citation statements)

References 15 publications

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“…The introduction of mechanical energy, initially with hysteroscopic surgery [6,7,8] and subsequently with diagnostic hysteroscopy, has led to a reduction in the rate of complications mainly caused by the presence of electrodes in the operative field, as occurs with monopolar and bipolar radiofrequency energy [9]. To confirm our hypothesis that the new mechanical energy system has certain advantages over conventional hysteroscopy with bipolar energy, we designed a comparative study to perform an outpatient diagnostic and operative hysteroscopy with the new TRUCLEAR System® (TS; Smith & Nephew, Andover, Mass., USA) with mechanical energy and compared it to the Versapoint® system (VS; Gynecare; Ethicon, Somerville, N.J., USA) with bipolar energy, subsequently assessing total procedure time in the 90 patients included in the study who had an ultrasound diagnosis of endometrial polyp >1 cm.…”

Section: Introductionmentioning

confidence: 99%

Outpatient Hysteroscopic Polypectomy: Bipolar Energy System (Versapoint®) versus Mechanical Energy System (TRUCLEAR System®) - Preliminary Results

Pampalona

Bastos

Mancebo³

et al. 2015

Gynecol Obstet Invest

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Hypothesis: The new hysteroscopic system with mechanical energy is an effective outpatient technique for diagnosis and treatment that has certain advantages over conventional hysteroscopy in the management of endometrial polyps. Objectives: Our primary objective was to assess the total duration of hysteroscopy and polypectomy performed in an outpatient setting comparing the new mechanical energy hysteroscopy to the bipolar energy system. Our secondary objective was to compare the level of safety of both hysteroscopic techniques using the procedure success rate, the need for subsequent referral to surgery, existing complications, and comfort experienced by the patient during the procedure. Patients and Methods: This randomized controlled trial included the first 90 patients with an ultrasound diagnosis of endometrial polyp (>1 cm) who underwent an outpatient diagnostic and operative hysteroscopy at the Igualada Hospital (Barcelona) and agreed to be included in the study by signing an informed consent. Results: We obtained a 91% success rate with the TRUCLEAR System® compared to a 69% success rate with the Versapoint® system. Total operating time was 6.36 min in the TRUCLEAR System group versus 10.82 min in the Versapoint system group (p < 0.05), with a polypectomy time of 3.06 and 7.91 min, respectively (p < 0.05). There were no significant differences between the two techniques when analyzing pain using the visual analogue scale. No complications were recorded for either technique. Conclusion: The mechanical energy system presents a significant decrease in the total duration of polypectomy and hysteroscopy when performed both by experienced staff and by staff in training, resulting in higher success rates without complications with respect to conventional hysteroscopy with bipolar energy.

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Section: Introductionmentioning

confidence: 99%

Outpatient Hysteroscopic Polypectomy: Bipolar Energy System (Versapoint®) versus Mechanical Energy System (TRUCLEAR System®) - Preliminary Results

Pampalona

Bastos

Mancebo³

et al. 2015

Gynecol Obstet Invest

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“…The risk of cervical laceration and uterine perforation is reduced with the preoperative use of misoprostol. In a case control study of complications associated with bipolar and monopolar hysteroscopic operations (1,318 in the study group and 524 in the control group), found that the complication rate was 4.1 % in the study group and 2.8 % in the control group (p = 0.08) [ 58 ]. In this study the dilatation/false route rate was of 0.7 and 0.8 %.…”

Section: Complications Of Hysteroscopic Myomectomy Traumatic Injuriesmentioning

confidence: 44%

Hysteroscopic Myomectomy

Haimovich¹,

Eliseeva²,

Mynbaev³

2014

Uterine Myoma, Myomectomy and Minimally Invasive Treatments

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“…In their study, Bahar et al [14] reported that, the most prevalent symptoms were irregular uterine bleeding [35.5%] and infertility [21.9%]. About 20% of women had no symptoms and underwent a hysteroscopic procedure because of an abnormal finding at imaging during the routine annual checkup.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of intrauterine adhesions after hysteroscopic myomectomy by integrated Bigatti Shaver (IBS)

Awad¹,

Anter

Ayad

2019

International Journal of Medical Arts

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Background: Myomectomy is the best procedure for treatment of uterine fibroids. However, post-myomectomy adhesions represent a major problem. The introduction of hysteroscopic myomectomy thought to reduce these adhesions. However, the incidence is not determined after different shavers. Aim of the work: To assess the prevalence of adhesions in women undergoing IBS-myomectomy for uterine fibroids. Patients and methods: The study included 70 women indicated for IBS myomectomy. Eligible females were submitted to full history taking, clinical examination and routine laboratory investigations. In addition, all patients underwent transvaginal ultrasonography. Fibroid grade was defined and hysteroscopic myomectomy. Then office hysteroscopy was done after 3 months of the procedure, and any pathology especially intrauterine adhesions was reported. Patients were classified into two groups; with adhesions and without adhesions. Results: The incidence of adhesions was 5.7%. The development of adhesion was usually associated with multiple myomas present in posterior position who need long resection time and usually the resection is incomplete. The adhesions were usually mild [75%] and there was no complications were reported after hysteroscopic myomectomy. Conclusion: The incidence of intrauterine adhesion after the hysteroscopic myomectomy by IBS is low

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Case-Control Study of Complications Associated With Bipolar and Monopolar Hysteroscopic Operations

Cited by 20 publications

References 15 publications

Outpatient Hysteroscopic Polypectomy: Bipolar Energy System (Versapoint®) versus Mechanical Energy System (TRUCLEAR System®) - Preliminary Results

Outpatient Hysteroscopic Polypectomy: Bipolar Energy System (Versapoint®) versus Mechanical Energy System (TRUCLEAR System®) - Preliminary Results

Hysteroscopic Myomectomy

Prevalence of intrauterine adhesions after hysteroscopic myomectomy by integrated Bigatti Shaver (IBS)

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