Hysteroscopic Endometrial Polypectomy: Clinical and Economic Data in Decision Making

Franchini, Mario; Lippi, Giuseppe; Calzolari, Stefano; Giarrè, Giovanna; Gubbini, Giampietro; Catena, Ursula; Sardo, Attilio Di Spiezio; Florio, Pasquale

doi:10.1016/j.jmig.2017.08.001

Cited by 13 publications

(2 citation statements)

References 24 publications

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“…Traceable items are the major factor identified to monitor the cost of hysteroscopic procedures. Costs of mHTRs are offset by the cost of the single-use blade or by the cost represented by the damage caused to the reusable blades during its use ( Franchini et al, 2018 ).…”

Section: Comparisonmentioning

confidence: 99%

Mechanical hysteroscopic tissue removal or hysteroscopic morcellator: understanding the past to predict the future. A narrative review

Franchini¹,

Ceci²,

Casadio³

et al. 2021

Facts Views Vis ObGyn

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Background: In recent years, the available evidence revealed that mechanical hysteroscopic tissue removal (mHTR) systems represent a safe and effective alternative to conventional operative resectoscopic hysteroscopy to treat a diverse spectrum of intrauterine pathology including endometrial polyps, uterine myomas, removal of placental remnants and to perform targeted endometrial biopsy under direct visualisation. This innovative technology simultaneously cuts and removes the tissue, allowing one to perform the procedure in a safer, faster and more effective way compared to conventional resectoscopic surgery. Objective: To review currently available scientific evidence concerning the use of mechanical hysteroscopic morcellators and highlight relevant aspects of the technology. Material and Methods: A narrative review was conducted analysing the available literature regarding hysteroscopic tissue removal systems. Main outcome measures: Characteristics of available mHTR systems, procedures they are used for, their performance including safety aspects and their comparison. Results: A total of 7 hysteroscopic morcellators were identified. The diameter of the external sheet ranged from 5.25 to 9.0 mm, optics ranged from 0.8 to 6.3 mm with 0o angle. The cutter device diameter ranged from 2.9 to 4.5 mm most of them with rotation and reciprocation. Conclusion: We conclude that the adoption of mHTR has shown to reduce operating time, simultaneously cutting and suctioning tissue fragments avoiding the need for multiple removal and reinsertions of the device into the uterine cavity as well as reducing the volume of distension media required to complete the procedure compared to using the hysteroscopic resectoscope.

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Section: Comparisonmentioning

confidence: 99%

Mechanical hysteroscopic tissue removal or hysteroscopic morcellator: understanding the past to predict the future. A narrative review

Franchini¹,

Ceci²,

Casadio³

et al. 2021

Facts Views Vis ObGyn

View full text Add to dashboard Cite

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“…Hysteroscopic surgery can detect and treat small lesions in the uterine cavity, therefore it has become an important means for the diagnosis and treatment of uterine cavity abnormalities [10].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Current Therapies to Improve the Endometrial Receptivity of Patients with Repeated Implantation Failure in IVF-ET

Hossen

Siddique

Uzzaman

et al. 2019

BJSTR

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Endometrial receptivity disorder is the leading cause for failed embryonic implantation. Recently, the methods to ameliorate endometrial receptivity, to improve the success rate and increase the clinical pregnancy rate of in vitro fertilization-embryo transfer (IVF-ET) technology has become a research hotspot. In this article, we describe the treatment methods and elaborate the latest progress made in improving endometrial receptivity in the recent years.

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Hysteroscopic tissue removal system (MyoSure) for the resection of polyps, sub-mucosal leiomyomas and retained products of conception in an out-patient setting: A single UK institution experience

Georgiou

Tranoulis

Jackson

2018

European Journal of Obstetrics & Gynecology and Reproductiv

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Hysteroscopic Endometrial Polypectomy: Clinical and Economic Data in Decision Making

Cited by 13 publications

References 24 publications

Mechanical hysteroscopic tissue removal or hysteroscopic morcellator: understanding the past to predict the future. A narrative review

Mechanical hysteroscopic tissue removal or hysteroscopic morcellator: understanding the past to predict the future. A narrative review

Current Therapies to Improve the Endometrial Receptivity of Patients with Repeated Implantation Failure in IVF-ET

Hysteroscopic tissue removal system (MyoSure) for the resection of polyps, sub-mucosal leiomyomas and retained products of conception in an out-patient setting: A single UK institution experience

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