Outpatient Hysteroscopic Polypectomy in 237 Patients: Feasibility of a One-Stop “See-and-Treat” Procedure

Garuti, Giancarlo; Cellani, Fulvia; Colonnelli, Monica; Grossi, Francesco; Luerti, Massimo

doi:10.1016/s1074-3804(05)60083-7

Cited by 38 publications

(13 citation statements)

References 14 publications

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“…It is used mainly for diagnostic purposes. Recently, it has been used for a therapeutic aim, including polypectomy (22), myomectomy (23), and hematometra emptying (24). The outer diameter of our flexible videohysteroscope was as small as 3.8 mm and it did not cause much discomfort to patients.…”

Section: Discussionmentioning

confidence: 94%

Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas

Yang

Chen

et al. 2008

Fertility and Sterility

110

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Section: Discussionmentioning

confidence: 94%

Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas

Yang

Chen

et al. 2008

Fertility and Sterility

110

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“…This generally does not allow to "see and treat" polyps in an outpatient setting (16,17). Another disadvantage of the resectoscope is that the instruments are different from those traditionally used for diagnostic hysteroscopy.…”

Section: Discussionmentioning

confidence: 99%

Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study

Muzii

Bellati

Pernice

et al. 2007

Fertility and Sterility

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“…It is known that there is a prevalence of endometrial polyps in 24-25% of the general population, with greater incidence in patients who are between 40 and 65 years old [1]. Most are asymptomatic and are diagnosed incidentally while performing an ultrasound; however, when they are symptomatic they present in the form of abnormal uterine bleeding [2].…”

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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Outpatient Hysteroscopic Polypectomy in 237 Patients: Feasibility of a One-Stop “See-and-Treat” Procedure

Cited by 38 publications

References 14 publications

Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas

Office hysteroscopic early lysis of intrauterine adhesion after transcervical resection of multiple apposing submucous myomas

Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study

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

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