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

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RESEARCH PRODUCT

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

Fabio Montella Gloria Calagna Davide Dealberti Attilio Di Spiezio Sardo Francesca Riboni Carla Pisani Stefano Cosma Salvatore Saitta

subject

medicine.medical_specialty Cost-Benefit Analysis medicine.medical_treatment Pain Hysteroscopy Clinical study 03 medical and health sciences Polyps 0302 clinical medicine Polyp Pregnancy Endometrial Polyp Uterine Neoplasm Humans Medicine Prospective Studies Major complication Cost-Benefit Analysi Pain Measurement Gynecology Ambulatory Surgical Procedure Office based 030219 obstetrics & reproductive medicine Mini-resectoscope Task force business.industry General surgery Pelvic pain Obstetrics and Gynecology Middle Aged Patient Acceptance of Health Care Polypectomy Polypectomy Feasibility Studie Prospective Studie Treatment Outcome Ambulatory Surgical Procedures Office hysteroscopy Italy Patient Satisfaction 030220 oncology & carcinogenesis Uterine Neoplasms Feasibility Studies Female medicine.symptom Analgesia business Endometrial polyp Human

description

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.

year	journal	country	edition	language
2016-01-01

10.1016/j.jmig.2015.12.016 http://hdl.handle.net/11588/648357