1,720,969 research outputs found
Four years experience treating intrauterine benign pathologies in an Office setting, using 5 Fr bipolar instruments.
No full textAdvanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr. bipolar electrode
No full textBACKGROUND: The aim of this study was to evaluate treatment efficacy and patient
acceptability of a new bipolar probe used during office hysteroscopic treatment
of benign intrauterine pathologies.
METHODS: In this observational clinical study, 501 women were treated for benign
intrauterine pathologies using an office hysteroscopic procedure, without
analgesia or anaesthesia. A Versapoint 5 Fr. bipolar electrical generator was
used to treat endometrial polyps ranging between 0.5 and 4.5 cm, as well as
submucosal and partially intramural myomas between 0.6 and 2.0 cm. Treatment
efficacy and patient compliance were evaluated.
RESULTS: At follow-up, the uterine cavity was normal in all patients without any
recurrence or persistence of the pathology. One focal adenocarcinoma was
discovered at histology in an endometrial polyp of a menopausal patient. Patient
acceptance was satisfactory; 47.6-79.3% of the patients underwent the procedure
without discomfort.
CONCLUSIONS: The combination of a new generation small diameter hysteroscope and
a new bipolar 5 Fr. electrode enables the gynaecologist to treat intrauterine
pathologies in an office setting without anaesthesia. Experimentation of a
special set-up of the electrical generator reduced patient discomfort during the
operative part of the hysteroscopic procedure
Comparison of hysteroscopic and hysterectomy findings to assess the diagnostic accuracy of office hysteroscopy in tamoxifen-treated patients with breast cancer
No full textStudy Objective. To assess the diagnostic accuracy of office hysteroscopy by comparing hysteroscopic findings with histologic
findings on hysterectomy specimens in postmenopausal women with breast cancer treated with tamoxifen.
Design. Retrospective clinical study (Canadian Task Force classification II-2).
Setting. University-affiliated hospital.
Patients. Thirty-three women.
Intervention. Record review.
Measurements and Main Results. Compared with histologic diagnoses of uteri, hysteroscopic findings showed diagnostic sensitivity
of 97%, specificity of 100%, positive predictive value of 100% and negative predictive value of 96%. The diagnostic
accuracy of hysteroscopy is the same in patients taking tamoxifen as in the general population.
Conclusion. Hysteroscopy is a powerful method for diagnosing endometrial disease because it provides a direct view of the
uterine cavity, reveals focal lesions, and enables targeted biopsies to be performed at the same time
What is the most reliable Endometrial Sampling technique in the diagnosis of intrauterine pathologies?
No full text
What is the most reliable Endometrial Sampling technique in the diagnosis of intrauterine pathologies?
No full textEndometrial biopsies using small-diameter hysteroscopes and 5F instruments: how can we obtain enough material for a correct histologic diagnosis?
No full textSTUDY OBJECTIVE:
To evaluate the quantity of biopsy tissue obtained by hysteroscopic grasp technique compared with classic punch technique.
DESIGN:
Observational study (Canadian Task Force classification II-2).
SETTING:
University hospital.
PATIENTS:
One thousand two hundred seventy-six women.
INTERVENTION:
Targeted biopsies performed in an office setting using two biopsy forceps, classic spoon and crocodile, and two methods, classic punch and grasp technique.
MEASUREMENTS AND MAIN RESULTS:
With either biopsy forceps, the mean increase in amount of tissue obtained by grasp technique compared with punch technique was statistically significant (p <0.005). With grasp technique, the mean amount of tissue obtained was even larger with crocodile than with spoon forceps.
CONCLUSION:
Targeted biopsy, when performed with the appropriate instrument and applying correct technique, can provide the pathologist with a large amount of tissue (mean 5.7 mm2) that is invariably adequate for histologic examination
Four Years' Experience Treating Intrauterine Benign Pathologies in an Office Setting with 5F bipolar Instruments
No full textEndometrial biopsies using small-diameter hysteroscopes and 5F instruments: how can we obtain enough material for a correct histologic diagnosis?
No full textSTUDY OBJECTIVE:
To evaluate the quantity of biopsy tissue obtained by hysteroscopic grasp technique compared with classic punch technique.
DESIGN:
Observational study (Canadian Task Force classification II-2).
SETTING:
University hospital.
PATIENTS:
One thousand two hundred seventy-six women.
INTERVENTION:
Targeted biopsies performed in an office setting using two biopsy forceps, classic spoon and crocodile, and two methods, classic punch and grasp technique.
MEASUREMENTS AND MAIN RESULTS:
With either biopsy forceps, the mean increase in amount of tissue obtained by grasp technique compared with punch technique was statistically significant (p <0.005). With grasp technique, the mean amount of tissue obtained was even larger with crocodile than with spoon forceps.
CONCLUSION:
Targeted biopsy, when performed with the appropriate instrument and applying correct technique, can provide the pathologist with a large amount of tissue (mean 5.7 mm2) that is invariably adequate for histologic examination
- …
