PMID: 11342733May 9, 2001Paper

Bipolar electrical energy in physiologic solution--a revolution in operative hysteroscopy

The Journal of the American Association of Gynecologic Laparoscopists
A GolanM Glezerman

Abstract

To evaluate the feasibility and efficiency of operative hysteroscopy in physiologic saline solution. Prospective observational study (Canadian Task Force classification II-2). Tertiary university hospital. One hundred sixteen women (56% menopausal) with intrauterine pathology with or without symptoms, in whom malignancy was excluded by endometrial sampling. Operative hysteroscopy for resection of uterine septa, lysis of adhesions, and resection of myomas or polyps using a bipolar electrical energy system (VersaPoint) developed for this purpose. Polyps were significantly more common in menopausal than in premenopausal women. Symptoms (mainly bleeding) occurred in 66.9% of premenopausal and 74.5% of menopausal patients. Endometrial polyps and submucous myomata were associated with symptoms in 68% and 70%, respectively. Operating time was less than 25 minutes. Two specimens revealed malignancy. One uncomplicated uterine perforation occurred. This new technique has the potential to replace monopolar-based intrauterine interventions and may become the treatment of choice for benign intrauterine pathology.

References

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Feb 1, 1997·The Journal of the American Association of Gynecologic Laparoscopists·G A VilosD Huband
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Citations

Dec 6, 2008·Surgical Endoscopy·Long SuiShu-Jun Gao
Oct 20, 2006·Journal of Lower Genital Tract Disease·Thomas M Julian
Jun 11, 2009·Current Opinion in Obstetrics & Gynecology·Giancarlo Garuti, Massimo Luerti
Jul 26, 2011·Journal of Minimally Invasive Gynecology·S SalimJ Abbott
Mar 4, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·J DubuissonD Raudrant
Jul 15, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Attilio Di Spiezio SardoCarmine Nappi
Jul 11, 2006·Journal of Minimally Invasive Gynecology·Fatima Nathani, T Justin Clark
Aug 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·George A Vilos, Basim Abu-Rafea
Jan 13, 2015·Women's Health·Pítia Cárita de Godoy BorgesDaniel Spadoto Dias
Aug 5, 2015·Women's Health·Andrea FincoErrico Zupi
Mar 30, 2012·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Luca MencagliaLiliana Mereu
Aug 25, 2015·Surgery Research and Practice·Nigel PereiraSteven D Spandorfer
Mar 24, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A C DonnadieuH Fernandez
Apr 27, 2016·Menopause : the Journal of the North American Menopause Society·Flavia Neves Bueloni-DiasEliana A P Nahas
Dec 15, 2016·Journal of Gynecologic Surgery·Michael D Scheiber, Serena H Chen
Aug 7, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Nili RazSergio Haimovich
Oct 5, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Meir PomeranzNissim Arbib

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