Removal of uterine polyps: clinical management and surgical approach

Ludwin, Artur; Lindheim, Steven R.; Booth, Rachel; Ludwin, I.

doi:10.1080/13697137.2020.1784870

Cited by 19 publications

(10 citation statements)

References 73 publications

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“…This is similar to what Al-Ani et al12 found: that patients with abnormal uterine bleeding who respond well to this treatment most often have an endometrial polyp when they have a hysteroscopic exam. Also, Ludwin et al 13 found in their study that polypectomy had the best obstetrical outcome. This backs up the idea that small intrauterine lesions, like polyps, that make it hard for an embryo to grow have better outcomes after polypectomy.…”

Section: Discussionmentioning

confidence: 95%

Effectiveness of hysteroscopic surgery for intrauterine lesions on pregnancy rates in patients with primary infertility

Zakaria¹,

Mostafa²,

Nasreldeen³

2022

ijhs

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Background: Infertility is an important part of reproductive health that has a big impact on society. The use of hysteroscopy in routine gynaecological practise was a real revolution in diagnosing and treating intrauterine disease, which had a big impact on how these diseases were treated and how they were dealt with. Objective: To find out how well therapeutic intervention through operative hysteroscopy works in increasing the number of pregnancy rate in women with primary infertility with diagnosed intrauterine lesions. Patients and methods: In the current study, fifty patients, who have been met the requirements of the inclusion and exclusion criteria participated prospectively in this study to evaluate the impact of detected and treated uterine and cervical abnormalities on the pregnancy rate and reproductive outcome. They underwent operative hysteroscopy for resection of submucous myoma, polypectomy or resection of intrauterine septum during the follicular phase of their cycles. Results: After operative hysteroscopy the reproductive outcome was 29 out of 50 patients (58%) achieved pregnancy. Of those, 26 women (52%) had singleton pregnancies while 3 women (6%) had twin pregnancies.

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Section: Discussionmentioning

confidence: 95%

Effectiveness of hysteroscopic surgery for intrauterine lesions on pregnancy rates in patients with primary infertility

Zakaria¹,

Mostafa²,

Nasreldeen³

2022

ijhs

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“…Unlike ordinary hysteroscopy, hysteroscopic submucosal myomectomy is a relatively complex and lengthy procedure with some commonly encountered issues that can affect the outcome of the surgery. These include excessive uterine flexion, cervical stenosis, a history of cervical surgery, uterine adhesions, improper selection of electric knife and roller, and poor experience of the attending surgeon (7). In addition, the intraoperative process of hysteroscopic surgery is more likely to cause vagal reflexes in patients, which increases the risk involved in anesthetic management (8).…”

Section: Discussionmentioning

confidence: 99%

Clinical observation of different dosages of dexmedetomidine combined with a target-controlled infusion of propofol in hysteroscopic submucosal myomectomy

Zhao²,

Yan³

et al. 2023

Front. Surg.

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ObjectiveThis study aimed to explore the clinical effects of different dosages of dexmedetomidine (Dex) combined with a target-controlled infusion of propofol in hysteroscopic submucosal myomectomy.MethodsNinety patients who underwent hysteroscopic submucosal myomectomy between September 2021 and March 2022 were enrolled and randomly divided into three groups, with 30 patients in each group. Patients in Groups A, B, and C received injections of 0.25, 0.5, or 0.75 µg/kg of Dex, respectively, by intravenous pump over 10 min. After this time, a maintenance dosage of 0.5 µg/kg/h was administered by intravenous infusion until the end of the surgery. Anesthesia was induced using 1.5 mg/kg of propofol and 0.3 µg/kg of sufentanil that were introduced through a laryngeal mask. The plasma concentration of propofol was maintained at 3 µg/ml by target-controlled infusion until the end of the surgery. The mean arterial pressure (MAP), heart rate (HR), and electroencephalographic bispectral index (BIS) were observed when the patient entered the operating room (T0), after catheter indwelling for anesthesia (T1), at the time of cervical dilation (T2), at the time of hysteroscopic surgery (T3), and at the end of the surgery (T4) in all three groups. The total dosage of propofol for induction and maintenance, anesthesia awakening time, orientation recovery time, Visual Analog Scale (VAS) score of the post-awakening uterine contraction pain, and adverse reactions were recorded.ResultsThe intraoperative reductions of MAP and HR in patients were significant in Group C when compared with those in Groups A and B (P < 0.05), and BIS was significantly lower in Group C at T2 and T3 when compared with the baseline measurement at T0 (P < 0.05). The dosage of propofol was significantly higher for Group A than for Groups B and C (P < 0.05). The anesthesia awakening time and orientation recovery time were significantly longer for patients in Group C when compared with patients in Groups A and B (P < 0.05). Within 5–30 min after awakening, the VAS scores in Groups B and C were significantly lower than those for Group A (P < 0.05). The incidence of adverse reactions in Group B was significantly less than that for Groups A and C (P < 0.05).ConclusionThe continuous pumping of 0.5 µg/kg of Dex combined with a target-controlled infusion of propofol in hysteroscopic submucosal myomectomy resulted in positive anesthetic and analgesia effects and fewer adverse reactions. It therefore has high clinical significance.

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“…This study aimed to conduct a case-control study to determine the relationship between AMH serum levels and endometrial polyps in women with PCOS. AMH is helpful in evaluating women at risk of decreased ovarian reserve, including women with a family history of ovarian failure (10), women with early menopause (11), women with a history of severe endometriosis (12), chemotherapy or previous surgery on the ovaries (13), women with autoimmune diseases (14), pelvic infections (15), and women using vegetarian diets (16).…”

Section: Discussionmentioning

confidence: 99%

“…In various studies, the relationship between AMH and PCOS has been discussed. It has been shown that androgens cause the proliferation of the inner theca and granulosa layer, which can increase AMH (10)(11)(12)(13)(14)(15)(16). Also, the level of AMH can be highly related to the number of antral follicles and oocytes (17).…”

Section: Discussionmentioning

confidence: 99%

The relationship between anti mullerian hormone level and endometrial polyp frequency in patients with polycystic ovary syndrome

MADENLİ>

ÖZ>

Gürbüz³

2022

Journal of Medicine and Palliative Care

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Amaç: Bu çalışmada polikistik over sendromlu (PKOS) kadınlarda serum anti mullerian hormon (AMH) düzeyleri ile endometrial polip sıklığı arasındaki ilişkiyi belirlemeyi amaçladık. Gereç ve Yöntem: Çalışma grubuna endometrial polipli hastalar (n=55) dahil edildi. Kontrol grubu endometrial polip olmayan kadınlardan (n=49) seçildi. Olgu ve kontrol grupları arasındaki ilişki, AMH düzeylerini ve endometriyal polipleri kontrol etmek için ki-kare testi kullanılarak araştırıldı. Bulgular: Katılımcıların yaş ve vücut kitle indeksi (VKİ) sırasıyla 28,20±3,08 ve 25,45±2,25 idi. AMH seviyeleri ile endometrial polip arasında istatistiksel olarak anlamlı bir ilişki saptandı (p değeri 0,05). Sonuç: Bu araştırma, PKOS hastalarında yüksek AMH seviyeleri ile endometrial polip sıklığının arttığını göstermiştir.

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Removal of uterine polyps: clinical management and surgical approach

Cited by 19 publications

References 73 publications

Effectiveness of hysteroscopic surgery for intrauterine lesions on pregnancy rates in patients with primary infertility

Effectiveness of hysteroscopic surgery for intrauterine lesions on pregnancy rates in patients with primary infertility

Clinical observation of different dosages of dexmedetomidine combined with a target-controlled infusion of propofol in hysteroscopic submucosal myomectomy

The relationship between anti mullerian hormone level and endometrial polyp frequency in patients with polycystic ovary syndrome

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