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01-08-2013 | General Gynecology

New mini-resectoscope: analysis of preliminary quality results in outpatient hysteroscopic polypectomy

Authors: Davide Dealberti, Francesca Riboni, Stefano Prigione, Carla Pisani, Enrico Rovetta, Fabio Montella, Giancarlo Garuti

Published in: Archives of Gynecology and Obstetrics | Issue 2/2013

Abstract

Purpose

We investigated the feasibility and acceptability of office hysteroscopic polypectomy using a new continuous-flow operative 16 Fr Gubbini’s mini-resectoscope. This is a prospective clinical study (Canadian Task Force classification III).

Methods

The office hysteroscopic polypectomy was performed with a mini-resectoscope without analgesia or anesthesia. We evaluated the polyp size and the number, the effectiveness of resection, the operating time, the pelvic pain and complications.

Results

The office hysteroscopic polypectomy was successfully performed in all 33 patients. The polyps ranged in size from 5 to 50 mm with a mean of 18.15 ± 11.45 mm. We analyzed the operating time with a mean of 11.45 ± 4.71 min: 29 procedures took less than 15 min from the start of vaginoscopy to the end of surgery. Overall mean visual analog scale (VAS) calculated was 2.48 ± 1.37 (range 0–6). The correlation between the size of the polyps and operating time was statistically significant (p < 0.001). No major complications were recorded.

Conclusion

Our preliminary data demonstrated that can be possible to remove endometrial polyps by hysteroscopy, using the mini-resectoscope, in an office setting. All procedures were completed successfully and well tolerated with a little discomfort permitting the removal also of big sized polyps without a statistical correlation between VAS and size of polyps or operating time. The outpatient polypectomy is a less-costing procedure and represents an acceptable and effective alternative to inpatient resectoscopic polypectomy, leading to a complete polyp excision in nearly all patients.

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Title: New mini-resectoscope: analysis of preliminary quality results in outpatient hysteroscopic polypectomy
Authors: Davide Dealberti
Francesca Riboni
Stefano Prigione
Carla Pisani
Enrico Rovetta
Fabio Montella
Giancarlo Garuti
Publication date: 01-08-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 2/2013
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-2754-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

New mini-resectoscope: analysis of preliminary quality results in outpatient hysteroscopic polypectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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