8847 Office Operative Hysteroscopy Using the LiNA Operascope Lasso and Biopsy Forceps

Abstract

Study Objective To evaluate the LiNA OperaScope Lasso and Biopsy Forceps for office hysteroscopy with polypectomy and targeted endometrial biopsy. Design Retrospective clinical study. Setting Private Gynecology Practice. Patients or Participants 148 patients who underwent office hysteroscopy, including 31 patients with polypectomy and 27 patients with targeted endometrial biopsy. Interventions Office hysteroscopy was performed with the LiNA OperaScope, a single use hysteroscope with an operative channel. Polypectomies were performed with the LiNA OperaScope Lasso (16 mm), a 5 Fr mechanical instrument with a basket at the distal end. Targeted biopsies were obtained with the LiNA OperaScope Biopsy Forceps (5 Fr). Measurements and Main Results In 2021, 148 hysteroscopies were performed in an office setting under local anaesthesia with paracervical block. The mean age of the patients was 53 years. 53% of the patients were menopausal. The main indications for hysteroscopy included abnormal uterine bleeding, postmenopausal bleeding, abnormal findings during diagnostic imaging as well as endometrial polyps. In 31 patient's polypectomies were performed with the LiNA OperaScope Lasso. In 29/31 patients the polypectomies were successfully completed (average polyp size 1,1 cm, ranging from 0,5 – 2 cm). In one patient the endometrial polyp was only partially removed due to large polyp size (2,5 cm). One patient did not tolerate the hysteroscopy procedure. In all successful polypectomy cases sufficient tissue samples for pathology assessment were obtained. 27 patients underwent endometrial biopsies with the LiNA OperaScope Biopsy Forceps. In 26/27 cases the procedure was completed successfully and sufficient tissue samples for pathology assessment were obtained. None of the patients who underwent endometrial biopsies with the LiNA OperaScope Biopsy Forceps experienced any interruption due to pain or loss of tolerability during the procedure. Conclusion The LiNA OperaScope Lasso and Biopsy Forceps are suitable instruments for hysteroscopic polypectomies and targeted endometrial biopsies in the office setting. To evaluate the LiNA OperaScope Lasso and Biopsy Forceps for office hysteroscopy with polypectomy and targeted endometrial biopsy. Retrospective clinical study. Private Gynecology Practice. 148 patients who underwent office hysteroscopy, including 31 patients with polypectomy and 27 patients with targeted endometrial biopsy. Office hysteroscopy was performed with the LiNA OperaScope, a single use hysteroscope with an operative channel. Polypectomies were performed with the LiNA OperaScope Lasso (16 mm), a 5 Fr mechanical instrument with a basket at the distal end. Targeted biopsies were obtained with the LiNA OperaScope Biopsy Forceps (5 Fr). In 2021, 148 hysteroscopies were performed in an office setting under local anaesthesia with paracervical block. The mean age of the patients was 53 years. 53% of the patients were menopausal. The main indications for hysteroscopy included abnormal uterine bleeding, postmenopausal bleeding, abnormal findings during diagnostic imaging as well as endometrial polyps. In 31 patient's polypectomies were performed with the LiNA OperaScope Lasso. In 29/31 patients the polypectomies were successfully completed (average polyp size 1,1 cm, ranging from 0,5 – 2 cm). In one patient the endometrial polyp was only partially removed due to large polyp size (2,5 cm). One patient did not tolerate the hysteroscopy procedure. In all successful polypectomy cases sufficient tissue samples for pathology assessment were obtained. 27 patients underwent endometrial biopsies with the LiNA OperaScope Biopsy Forceps. In 26/27 cases the procedure was completed successfully and sufficient tissue samples for pathology assessment were obtained. None of the patients who underwent endometrial biopsies with the LiNA OperaScope Biopsy Forceps experienced any interruption due to pain or loss of tolerability during the procedure. The LiNA OperaScope Lasso and Biopsy Forceps are suitable instruments for hysteroscopic polypectomies and targeted endometrial biopsies in the office setting.