Hystéroscopie opératoire pour fibrome : morcellement versus résection à l’anse bipolaire

Hamidouche, A.; Vincienne, M.; Thubert, Thibault; Trichot, C.; Demoulin, G.; Nazac, André; Fernandez, H.; Rivain, A L; Deffieux, X.

doi:10.1016/j.jgyn.2014.09.006

Cited by 12 publications

(3 citation statements)

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“…e Myosure ® arm series in Hamidouche et al study [46] (the only good quality series among morcellators group) reports 0.647 (95% CI 0.476-0.787) of feasibility, while complications cases were 5 to 34 patients (0.147; 95% CI 0.063-0.308). All complications reported in the study of Hamidouche at al [46] were instances of bleeding. Table 5 reports descriptive statistics of complications rates found in good quality studies.…”

Section: Resultsmentioning

confidence: 98%

“…Of the 25 series of good quality, 10 used the slicing technique (7 with <50% of G2 myomas rate, while 3 with ≥50% of G2 myomas rate). One series reported the use of Myosure ® [46]. Techniques for enucleating the deep portion of myomas were reported in 14 series (8 with <50% of G2 myomas rate, while 6 with ≥50% of G2 myomas rate).…”

Section: Resultsmentioning

confidence: 99%

“…Table 3 reports the quality score results in assessing bias risk, of the 24 series of good quality available for meta-analysis. e Myosure ® arm series in Hamidouche et al [46] is not reported in Table 3 because it was the only good quality series of the morcellators group. erefore, it was not possible to meta-analyse data on the morcellators group.…”

Section: Resultsmentioning

confidence: 99%

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Likelihood of Accomplishing an In-Patient Hysteroscopic Myomectomy in a One-Step Procedure: A Systematic Review and Meta-Analysis

Indraccolo

Bini

Favilli

2020

BioMed Research International

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Purpose. To assess the feasibility rate of one-step hysteroscopic myomectomy according to the technique adopted. Methods. In July 2016, PubMed, ClinicalTrials.gov, SCOPUS, Scielo, and AJOL databases were used for searching references. Series of in-patient hysteroscopic myomectomies reporting success rate in only one-step procedure, categorization of submucous fibroids, explanation of the surgical technique, and description of patients were considered eligible for meta-analysis (retrospective, prospective randomized studies). Two authors extracted the data. Rate of myomectomies accomplished in only a surgical step and rate of intraoperative complications were extracted per protocol. A modified GRADE score was used for quality assessment. Random-effect models were already assumed. Mean rates were compared among subgroups. Results. One thousand two hundred and fifty-seven studies were screened and 241 of these were read for eligibility. Seventy-eight series were included in qualitative synthesis and 24 series were included in quantitative synthesis. Wide heterogeneity was found. In series with <50% of G2 myomas treated, the slicing technique feasibility rate was 86.5% while techniques for enucleating the deep portion of the myomas showed a feasibility rate of 92.3% (p<0.001). In series with ≥50% of G2 myomas treated, the slicing technique feasibility rate was 70.6% while techniques for enucleating the deep portion of myomas showed a feasibility rate of 88.4% (p<0.001). Complications were significantly lower for alternative techniques to the classical slicing. Conclusion. In case of submucous myomas with intramural development, the slicing technique was correlated with a lower rate of in-patient hysteroscopic myomectomies accomplished in a one-step procedure and a higher complications rate.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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