STUDY OBJECTIVE: A new hysteroscopic operating technique was compared retrospectively with conventional resectoscopy. DESIGN: Retrospective comparison (Canadian Task Force Classification II-2). SETTING: Gynecology department of a university-affiliated teaching hospital. PATIENTS: Fifty-five women, 27 with endometrial polyps and 28 with submucous myomas. INTERVENTION: Patients were treated with a prototype of the Intra Uterine Morcellator (IUM). This cutting device, 35 cm in length, was inserted into a straight working channel of a 90-mm hysteroscope. MEASUREMENTS AND MAIN RESULTS: The major advantages were ease of removal of tissue fragments through the instrument and the use of saline solution instead of electrolyte-free solutions used in monopolar high-frequency resectoscopy. The mean operating time was 8.7 minutes (95% CI: 7.3-10.1) for the removal of endometrial polyps compared with 30.9 minutes (CI: 27.0-34.8) for resectoscopy, and 16.4 minutes (CI: 12.6-20.2) for submucous myomas compared with 42.2 minutes (CI: 39.7-44.7) for resectoscopy. All procedures were uneventful. CONCLUSION: This new technique is faster, and it appears to be easier to perform. Therefore, it can be expected to result in fewer fluid-related complications and to lead to a shorter learning curve when compared with conventional resectoscopy.
STUDY OBJECTIVE: A new hysteroscopic operating technique was compared retrospectively with conventional resectoscopy. DESIGN: Retrospective comparison (Canadian Task Force Classification II-2). SETTING: Gynecology department of a university-affiliated teaching hospital. PATIENTS: Fifty-five women, 27 with endometrial polyps and 28 with submucous myomas. INTERVENTION: Patients were treated with a prototype of the Intra Uterine Morcellator (IUM). This cutting device, 35 cm in length, was inserted into a straight working channel of a 90-mm hysteroscope. MEASUREMENTS AND MAIN RESULTS: The major advantages were ease of removal of tissue fragments through the instrument and the use of saline solution instead of electrolyte-free solutions used in monopolar high-frequency resectoscopy. The mean operating time was 8.7 minutes (95% CI: 7.3-10.1) for the removal of endometrial polyps compared with 30.9 minutes (CI: 27.0-34.8) for resectoscopy, and 16.4 minutes (CI: 12.6-20.2) for submucous myomas compared with 42.2 minutes (CI: 39.7-44.7) for resectoscopy. All procedures were uneventful. CONCLUSION: This new technique is faster, and it appears to be easier to perform. Therefore, it can be expected to result in fewer fluid-related complications and to lead to a shorter learning curve when compared with conventional resectoscopy.
Authors: Gianluca Raffaello Damiani; Giuseppe Muzzupapa; Mario Villa; Giuseppe Trojano; Vera Loizzi Journal: Gynecol Minim Invasive Ther Date: 2021-04-30
Authors: Elizabeth A Pritts; David J Vanness; Jonathan S Berek; William Parker; Ronald Feinberg; Jacqueline Feinberg; David L Olive Journal: Gynecol Surg Date: 2015-05-19
Authors: Andrea S Lukes; Kelly H Roy; James B Presthus; Michael P Diamond; Jay M Berman; Kenneth A Konsker Journal: Int J Womens Health Date: 2015-10-13