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

Journal of Minimally Invasive Gynecology
Davide DealbertiAttilio Di Spiezio Sardo

Abstract

To investigate the feasibility and acceptability of office hysteroscopic polypectomy using a novel continuous-flow operative 16F mini-resectoscope. Multicenter prospective case series (Canadian Task Force classification III). "SS Antonio e Biagio" Hospital, Alessandria, and University "Federico II" of Naples. One hundred eighty-two patients with endometrial polyps. Hysteroscopic polypectomy performed with 16F mini-resectoscope in an office setting, without analgesia and/or anesthesia. 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. 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.

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Citations

Nov 12, 2016·Best Practice & Research. Clinical Obstetrics & Gynaecology·Malcolm G Munro
Jan 24, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Salvatore Giovanni VitaleJose Carugno
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May 5, 2021·Surgical Technology International·Morris Wortman

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