Resectoscope versus small diameter hysteroscopy for endometrial polypectomy in patients with 'unfavorable' cervix
| Autor: | Marco Torella, Schettino Mt, Gloria Calagna, Nicola Colacurci, Antonino Perino, Pasquale De Franciscis, Flavio Grauso, Messalli Em |
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| Přispěvatelé: | DE FRANCISCIS, Pasquale, Grauso, Flavio, Messalli, Enrico Michelino, Schettino, Maria T, Calagna, Gloria, Perino, Antonino, Colacurci, Nicola, Torella, Marco, Defranciscis, P., Grauso, F., Messalli, E., Schettino, M., Calagna, G., Perino, A., Colacurci, N., Torella, M. |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Visual analogue scale medicine.medical_treatment Operative Time Cervix Uteri Hysteroscopy Group B law.invention Endometrium Polyps Randomized controlled trial law medicine Endometrial Polyp Hysteroscopes Humans Cervical canal Cervix Aged Analgesics Pain Postoperative medicine.diagnostic_test business.industry Obstetrics and Gynecology Middle Aged Settore MED/40 - Ginecologia E Ostetricia Polypectomy Surgery Endometrial Neoplasms medicine.anatomical_structure Female business Complication |
| Popis: | BACKGROUND: The aim of this study was to compare resectoscopic and small-diameter hysteroscopic techniques for endometrial polypectomy in patients with "unfavorable" cervix.METHODS: Eighty women with a single 2-4 cm sized endometrial polyp, with unfavorable cervical anatomical conditions were enrolled in the study. Forty patients were treated with a 26F resectoscope requiring cervical dilatation (group A), forty patients were treated with a 5-mm hysteroscope requiring vaginoscopic approach (group B). Operative time, fluid absorption, complications, instrument failure, postoperative pain, overnight stay were analyzed. Operative visualization, operative difficulty and overall surgeon's satisfaction were assessed with a Visual Analogue Scale (VAS).RESULTS: Operative time was significantly longer in group A than in group B (18.3 +/- 7.4 vs. 11.3 +/- 5.2 minutes), the cumulative complication rate and the need of postoperative analgesics were higher in group A than in group B. VAS of surgical difficulty and surgeon's satisfaction were higher in group B than in group A.CONCLUSIONS: The small-diameter hysteroscopy is a safe and effective approach for endometrial polyp up to 4 cm in patients with unfavorable cervical canal at risk of cervical injury. BACKGROUND: To compare resectoscopic and small-diameter hysteroscopic techniques for endometrial polypectomy in patients with "unfavorable" cervix. METHODS: Eighty women with a single 2-4 cm sized endometrial polyp, with unfavorable cervical anatomical conditions were enrolled in the study. Forty patients were treated with a 26F resectoscope requiring cervical dilatation (group A), forty patients were treated with a 5-mm hysteroscope requiring vaginoscopic approach (group B). Operative time, fluid absorption, complications, instrument failure, postoperative pain, overnight stay were analyzed. Operative visualization, operative difficulty and overall surgeon's satisfaction were assessed with a visual analogue scale. RESULTS: Operative time was significantly longer in group A than in group B (18.3±7.4 vs 11.3±5.2 minutes), the cumulative complication rate and the need of post-operative analgesics were higher in group A than in group B. Visual analogue scale of surgical difficulty and surgeon's satisfaction were higher in group B than in group A. CONCLUSIONS: The small-diameter hysteroscopy is a safe and effective approach for endometrial polyp up to 4 cm in patients with unfavorable cervical canal at risk of cervical injury. |
| Databáze: | OpenAIRE |
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