Comparison of Pipelle sampler with conventional dilatation and curettage (D&amp;C) for Chinese endometrial biopsy

Liu, H.; Wang, F.-L.; Zhao, Yining; Yao, Yuanxin; Li, Y.-L.

doi:10.3109/01443615.2014.970524

Cited by 13 publications

(18 citation statements)

References 17 publications

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“…Pain is the most commonly reported by women undergoing aspiration biopsy. It has been demonstrated that pipelle endometrial sampling compared to D & C biopsy is associated with less pain [10,15]. Other study concluded that pipelle significantly produced more pain than D & C and higher overall discomfort [23].…”

Section: Discussionmentioning

confidence: 99%

“…Pipelle biopsy is also characterized by high sensitivity in detecting endometrial neoplasms (93.8-99.2%) [14]. Lack of need for general anaesthesia, reduced duration of the diagnostic procedure, cost reduction and decrease in the number and incidence of complications constitute no doubt further significant advantages of this diagnostic method [15].…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the usefulness of pipelle biopsy in gynecological diagnostics

Piątek

Panek²,

Wielgoś³

2016

Ginekol Pol

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Objectives: The aim of this study is to assess the effectiveness of pipelle in sampling diagnostic material from the uterine cavity and determining clinical factors, which may affect its effectiveness. Material and methods:The retrospective analysis included 312 patients who underwent pipelle biopsy because of various indications. Evaluated factors which may affect the effectiveness of this method were: types of indications for the procedure, age, BMI, anteflexion or retroflexion of the uterus, presence of uterine fibroids, miscarriages, natural deliveries, deliveries in general. Results:In 259 (83.01%) cases sampled material allowed for a histopathological diagnosis. In 53 (16.99%) of the women we failed to sample tissue material from the uterine cavity. Indications for the procedure, BMI, age and menopausal status were factors of potential impact on the diagnostic effectiveness (p < 0.05). The diagnostic value of pipelle was found to be the lowest in women with overweight and obesity (BMI > 28), post-menopausal women, women over 55 years of age and where biopsy was performed for indications other than abnormal uterine bleeding. On the other hand, pipelle shows clearly the highest effectiveness in sampling diagnostic material from the uterine cavity in young women (< 45 years of age), menstruating women, women with normal body weight or underweight (BMI < 23) and abnormal uterine bleeding. Conclusions:Choosing a pipelle as an endometrial biopsy method should consider the indications, BMI, age and menopausal status. Omission of these factors can increase non-diagnostic outcomes resulting in necessity of repeated biopsies, the risk of complications and increases the costs of health care system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of the usefulness of pipelle biopsy in gynecological diagnostics

Piątek

Panek²,

Wielgoś³

2016

Ginekol Pol

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“…Although several studies concluded that Pipelle significantly produced less pain than D&C [10,11,12], other studies reported the occurrence of mild-to-severe pain during Pippelle endometrial sampling [13,14,15]. …”

Section: Discussionmentioning

confidence: 99%

“…This might be related to the use of cervical tenaculum in some women during Pipelle endometrial sampling as its contribution for pain occurrence cannot be denied. However, other risk factors for associated pain in the Pipelle procedure might have a role such as negative pressure induced by the procedure or during intrauterine Pipelle insertion [11,12,13]. …”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Acceptability of Pipelle Endometrial Sampling versus Classical Dilatation and Curettage: A Three-Year Observational Study

Rezk¹,

Sayyed²,

Dawood³

2016

Gynecol Obstet Invest

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Objective: To assess the effectiveness and acceptability of Pipelle endometrial sampling in comparison to dilatation and curettage (D&C). Methods: This was a prospective observational study including a total of 538 patients with abnormal uterine bleeding who were allocated to be treated using 2 sampling techniques: Pipelle sampler (n = 270) and D&C (n = 268). The primary outcome was the adequacy of both methods and concordance rate with hysterectomy specimens. The secondary outcome included drawbacks and patients' acceptability. Results: There was no significant difference between the 2 methods regarding adequacy and concordance rate with hysterectomy (p > 0.05). There was a statistically significant difference between the 2 groups regarding the requirement of analgesia and overall discomfort (p < 0.001), which was higher in the Pipelle group. No significant statistical difference was recognized between the study groups regarding the occurrence of cervical lacerations, fever or the rate of inadequate intrauterine sampling (p > 0.05). In addition, no significant statistical difference between both procedures was recognized concerning the overall satisfaction rate and the advisability of the procedure to other women (p > 0.05). Conclusion: Under the conditions of this study, Pipelle endometrial sampling is comparable to D&C biopsy in terms of adequacy and concordance rate with hysterectomy except that more pain and a higher overall discomfort rate were associated with it.

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“…Many studies compared the accuracy of Pipelle with D&C in the detection of various endometrial pathologies. Similar sensitivity and specificity was demonstrated in diagnosing atypia and endometrial cancer . However, much less is known about factors affecting the efficiency of Pipelle and D&C. Obtaining the appropriate specimen from the uterine cavity is essential for the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Pipelle biopsy and dilatation and curettage in clinical practice: are factors affecting their effectiveness the same?

Piątek

Warzecha

Kisielewski

et al. 2018

J of Obstet and Gynaecol

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Aim: Endometrial biopsy is one of the most commonly performed gynecological procedures. Apart from patient safety, the most important is to obtain an adequate specimen allowing histopathological diagnosis. The aim of the study was to determine the rate of endometrial sampling failure and factors affecting the quality of specimen obtained for histopathological examination among patients who underwent Pipelle biopsy and dilatation and curettage (D&C). Methods: Patients who underwent endometrial biopsy (Pipelle, D&C) at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, between June 2013 and July 2017, were included in the study. The influence of menopausal status, body mass index, obstetric history, endometrial thickness, indications for the biopsy and doctors' experience were analyzed with regard to the effectiveness of the procedure. Results: Overall, 895 endometrial sampling procedures were performed. Three hundred and thirty-nine (37.9%) patients underwent Pipelle biopsy, while 556 (62.1%) had D&C. Insufficient samples were found in 60 (17.3%) and 88 (15.8%) patients, respectively. Age, menopausal status and indications were factors affecting both procedures, while the number of previous vaginal deliveries, body mass index and endometrial thickness influenced the effectiveness of Pipelle biopsy. Doctors' experience did not influence the specimen adequacy. Conclusion: None of the methods guarantee obtaining adequate specimens. D&C might be preferred in postmenopausal women. The effectiveness of both procedures is independent of doctors' experience.

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Comparison of Pipelle sampler with conventional dilatation and curettage (D&C) for Chinese endometrial biopsy

Cited by 13 publications

References 17 publications

Assessment of the usefulness of pipelle biopsy in gynecological diagnostics

Assessment of the usefulness of pipelle biopsy in gynecological diagnostics

The Effectiveness and Acceptability of Pipelle Endometrial Sampling versus Classical Dilatation and Curettage: A Three-Year Observational Study

Pipelle biopsy and dilatation and curettage in clinical practice: are factors affecting their effectiveness the same?

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