Study Objective: To investigate the feasibility and acceptability of office hysteroscopic polypectomy using a novel continuous-flow operative 16F mini-resectoscope. Design: Multicenter prospective case series (Canadian Task Force classification III). Setting: "SS Antonio e Biagio" Hospital, Alessandria, and University "Federico II" of Naples. Patients: One hundred eighty-two patients with endometrial polyps. Interventions: Hysteroscopic polypectomy performed with 16F mini-resectoscope in an office setting, without analgesia and/or anesthesia. Measurements and Main Results: Polypectomy was successfully performed in 175 patients in a single surgical step (96.15%), with only 1 patient (54%) requiring a second office surgical step to complete the surgery. Seven patients (3.84%) were excluded from the analysis of operative parameters because of severe pelvic pain during the office procedure, which required a second inpatient surgical step. No major complications were recorded. Conclusion: Our findings demonstrate that removal of endometrial polyps using the 16F mini-resectoscope in an office setting is a feasible and safe surgical option. Outpatient see-and-treat polypectomy is an acceptable and effective alternative to inpatient resectoscopic polypectomy.

Dealberti, D., Riboni, F., Cosma, S., Pisani, C., Montella, F., Saitta, S., et al. (2016). Feasibility and Acceptability of Office-Based Polypectomy With a 16F Mini-Resectoscope: A Multicenter Clinical Study. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 23(3), 418-424 [10.1016/j.jmig.2015.12.016].

Feasibility and Acceptability of Office-Based Polypectomy With a 16F Mini-Resectoscope: A Multicenter Clinical Study

Calagna, Gloria;
2016

Abstract

Study Objective: To investigate the feasibility and acceptability of office hysteroscopic polypectomy using a novel continuous-flow operative 16F mini-resectoscope. Design: Multicenter prospective case series (Canadian Task Force classification III). Setting: "SS Antonio e Biagio" Hospital, Alessandria, and University "Federico II" of Naples. Patients: One hundred eighty-two patients with endometrial polyps. Interventions: Hysteroscopic polypectomy performed with 16F mini-resectoscope in an office setting, without analgesia and/or anesthesia. Measurements and Main Results: Polypectomy was successfully performed in 175 patients in a single surgical step (96.15%), with only 1 patient (54%) requiring a second office surgical step to complete the surgery. Seven patients (3.84%) were excluded from the analysis of operative parameters because of severe pelvic pain during the office procedure, which required a second inpatient surgical step. No major complications were recorded. Conclusion: Our findings demonstrate that removal of endometrial polyps using the 16F mini-resectoscope in an office setting is a feasible and safe surgical option. Outpatient see-and-treat polypectomy is an acceptable and effective alternative to inpatient resectoscopic polypectomy.
http://www.elsevier.com/wps/find/journaldescription.cws_home/704371/description#description
Dealberti, D., Riboni, F., Cosma, S., Pisani, C., Montella, F., Saitta, S., et al. (2016). Feasibility and Acceptability of Office-Based Polypectomy With a 16F Mini-Resectoscope: A Multicenter Clinical Study. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 23(3), 418-424 [10.1016/j.jmig.2015.12.016].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/176227
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