Introduction of the MyoSureLITE in an established outpatient hysteroscopy clinic.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
Hannah G GordonEmma Readman

Abstract

Endometrial polyps are a common cause of abnormal uterine bleeding. The MyoSureLITE intrauterine morcellation device is effective at resecting endometrial polyps; however, its use in the outpatient setting requires appraisal. To assess the feasibility, utility, acceptability and costs associated with introduction of the MyoSureLITE into an established outpatient hysteroscopy (OPH) clinic. A prospective clinical database from a tertiary Melbourne hospital was analysed from 1 July 2015 to 30 June 2018. Three 12-month time periods were compared: pre-introduction and trial phase, early use, and established use of the MyoSureLITE. Wait times, patient acceptability, second OPH bookings and procedure costs were measured. Eight hundred and seventy-one women underwent OPH during the study period, with 238 (27.3%) women presenting with endometrial polyp(s). At each timepoint, 78.5, 25 and 6.3% of women required rebooking for a subsequent hysteroscopy for pathology otherwise suitable for MyoSureLITE resection. Introduction of the MyoSureLITE avoided a subsequent procedure for 4, 60 and 69 women respectively for each year of use, with potentially reduced treatment costs for the institution. Median (IQR) wait time for definitive treatment o...Continue Reading

References

Apr 25, 2003·American Journal of Obstetrics and Gynecology·Luca SavelliLuciano Bovicelli
Dec 31, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E DreislerG Lose
Jan 15, 2010·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Kate McIlwainePeter Maher
Jan 9, 2013·Journal of Minimally Invasive Gynecology·Mariam M AlHilliAbimbola O Famuyide
Aug 12, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Patrick McIlwaineRoger Hart
Jan 26, 2016·Journal of Minimally Invasive Gynecology·Amy ArnoldJason Abbott
Nov 20, 2016·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Tony MaPeter Maher
Dec 28, 2018·Journal of Minimally Invasive Gynecology·Prathima ChowdaryEmma Readman

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