Office treatment of large endometrial polyps using truclear 5C: Feasibility and acceptability
| Autor: | Rossella Cannone, Giovanna Giarrè, Fabiana Divina Fascilla, Stefano Bettocchi, Mario Franchini, Ettore Cicinelli, Oronzo Ceci |
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| Rok vydání: | 2018 |
| Předmět: |
Pain score
medicine.medical_specialty 030219 obstetrics & reproductive medicine Visual analogue scale business.industry medicine.medical_treatment Significant difference Moderate pain Obstetrics and Gynecology Polyp size Polypectomy Surgery 03 medical and health sciences 0302 clinical medicine Multicenter study 030220 oncology & carcinogenesis Endometrial Polyp Medicine business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 45:626-633 |
| ISSN: | 1341-8076 |
| Popis: | Aim This retrospective multicenter study was carried out to evaluate feasibility, effectiveness and patient acceptability of a small diameter hysteroscopic tissue removal system in the treatment of large endometrial polyps (≥20 mm), usually not removed in an office setting. Methods Hundred and forty-six women with a single greater than 10-mm diameter polyp considered for polypectomy between April 2016 and August 2017. Sixty-five of these patients had a polyp size greater than 20 mm. All hysteroscopic polypectomy, using Hysteroscopic Tissue Removal system (TruClear 5C System Medtronic), were performed in an office setting with vaginoscopic approach. Results Procedural success, time to complete the polypectomy and patient pain scores were evaluated. Polyps less than 20 mm were completely removed in 79/81 cases (97.53%). The completeness of greater than or equal to 20-mm polyp removal was achieved in 63/65 cases (96.92%). The median time for polypectomy was 4.19 ± 1.03 min for polyps less than 20 mm and 4.97 ± 1.30 min for polyps greater than or equal to 20 mm, respectively. Pain was minimal and brief, and the mean pain score measured on a 10-point visual analog scale at the end of polypectomy showed no significant difference between the two groups. In 4/79 (5.06%) cases with polyps less than 20 mm and in 4/63 (6.35%) cases with polyps greater than or equal to 20 mm women reported moderate pain. All specimens were adequate for pathologic measurements. Conclusion Hysteroscopic treatment of polyps greater than or equal to 20 mm in size with TruClear 5C is feasible and well tolerated in an office setting with no significant difference regarding completeness compared to polyps less than 20 mm, but with a minimal increase in procedure times. |
| Databáze: | OpenAIRE |
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