Outpatient operative polypectomy using a 5 mm-hysteroscope without anaesthesia and/or analgesia: Advantages and limits

European Journal of Obstetrics and Gynecology and Reproductive Biology

Volumn 139, Issue 2, 2008, Pages 210-214

  Litta, Pietro ^a   Cosmi, Erich ^a   Saccardi, Carlo ^a   Esposito, Chiara ^a   Rui, Rosalia ^a   Ambrosini, Guido ^a  

^a UNIVERSITY OF PADOVA   (Italy)

Author keywords

Office hysteroscopy; Polypectomy; Polyps; Visual analogue scale

Indexed keywords

ADULT; AGED; ANALGESIA; ANESTHESIA; ARTICLE; ENDOMETRIUM POLYP; FEMALE; HUMAN; HYSTEROSCOPE; MAJOR CLINICAL STUDY; MENOPAUSE; OPERATION DURATION; OUTPATIENT CARE; POLYPECTOMY; PRIORITY JOURNAL; RATING SCALE; RECEIVER OPERATING CHARACTERISTIC; REGRESSION ANALYSIS; STATISTICAL SIGNIFICANCE; SURGICAL TECHNIQUE; VAGINAL DELIVERY; VISUAL ANALOG SCALE;

EID: 47849089733     PISSN: 03012115     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejogrb.2007.11.008     Document Type: Article

References (20)

1. Vilos G.A. Intrauterine surgery using a new coaxial bipolar electrode in normal saline solution (Versapoint): a pilot study. Fetil Steril 72 (1999) 740-743
2. Neuwrin R.S., and Amin H.K. Excision of submucus with hysteroscopic control. Am J Obstet Gynecol 126 (1976) 95-99
3. Donnez J., and Nisolle M. In: Donnez J., and Nisolle M. (Eds). An atlas of laser operative laparoscopy and hysteroscopy (1994), Parthenon Publishing, London
4. Vilos G.A., D'Souza I., and Huband D. Genital tract burns during roller-ball endometrial coaugulation. J Am Assoc Gynecol Laparosc 4 (1997) 273-276
5. Hoekstra P.T., Kahnoski R., McCamish M.A., Bergen W., and Heetderks D.R. Transurethral prostatic resection syndrome-a new perspective: encephalopathy with associated hyperammonemia. J Urol 130 (1983) 704-707
6. Baumann R., Magos A.L., Kay J.S.D., and Turnbull A.C. Absorption of glycine irrigating solution during transcervical resection of endometrium. Br Med J 300 (1990) 305-306
7. Witz C.A., Silverberg K.M., Burns W.N., Schenken R.S., and Olive D.L. Complications associated with the absorption of hysteroscopic fluid media. Fertil Steril 60 (1993) 745-756
8. Loffer F. Complications of hysteroscopy-their cause, prevention and correction. J Am Assoc Gynecol Laparosc 3 (1995) 11-26
9. Istre O., Skajaa K., Schjoensby A.P., and Forman A. Changes in serum electrolytes after transcervical resection of endometrium and submucous fibroids with use of glycine 1.5% for uterine irrigation. Obstet Gynecol 80 (1992) 218-222
10. Arieff A.I., and Ayus J.C. Endometrial ablation complicated by fatal hyponatriemic encephalopathy. J Am Med Assoc 80 (1993) 1230-1232
11. Bettocchi S., and Selvaggi L. A vaginoscopic approach to reduce the pain of office hysteroscopy. J Am Assoc Gynecol Laparosc 4 (1997) 255-258
12. Bettocchi S., Ceci O., Di Venere R., et al. Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr bipolar electrode. Hum Reprod 17 (2002) 2435-2438
13. Downie W.W., Leatham P.A., Rhind V.M., Wright V., Branco J.A., and Anderson J.A. Studies with pain rating scales. Ann Rheum Dis 37 (1978) 378-381
14. Muzii L., Bellati F., Pernice M., Manci N., Angioli R., and Benedetti Panici P. Resectoscopic versus bipolar electrode excision of endometrial polyps: a randomized study. Fertil Steril 87 (2007) 909-917
15. Marsh F.A., Rogerson L.J., and Duffy S.R. A randomized trial comparing outpatient versus daycase endometrial polipectomy. BJOG 113 (2006) 896-901
16. Bettocchi S., Ceci O., Nappi L., et al. J Am Assoc Gynecol Laparosc 11 (2004) 59-61
17. Guida M., Pellicano M., Zullo F., et al. Outpatient operative hysteroscopy with bipolar electrode: a prospective multicenter randomized study between local aneathesia and consious sedation. Hum Reprod 18 (2003) 840-843
18. Wolters U., Wolf T., Stutzer H., and Schroder T. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anesth 77 (1996) 217-222
19. Garuti G., Cellani F., Colonnelli M., Grossi F., and Lureti M. Outpatient hysteroscopic polypectomy in 237 patients: feasibility of a one-stop see-and-treat procedure. J Am Assoc Gynecol Laparosc 11 (2004) 500-504
20. Preutthipan S., and Herabutya Y. Hysteroscopic polypectomy in 204 premenopausal women. Fertil Steril 83 (2005) 705-709