Abstract
Hysteroscopic resection of endometrial lesions has recently gained popularities. We here report the usefulness and safety of hysteroscopic surgery using Intrauterine BIGATTI Shaver (IBS®). We performed this surgery for 6 patients: 4 endometrial polyps and 2 intrauterine myoma. The average operation time was 25.7 ± 13.2 minutes. Only a small amount of bleeding was noted in all cases. There were no surgical complications. Two out of four patients who desired childbearing became pregnant. Hysteroscopic surgery using IBS® can safely and reliably remove intrauterine protruding lesions under aspiration without using a heat source. Less endometrial damage may help preserve fertility.
Highlights
Hysteroscopic Surgery, Morcellator, Uterine Submucosal Fibroids, Endometrial Polyps. Intrauterine lesions such as endometrial polyps and submucosal myomas are associated with menstrual symptoms such as menorrhagia, metrorrhagia, and dysmenorrhea, and can be a factor in infertility and recurrent miscarriage [1] [2] [3] [4]
We investigated the usefulness and safety of hysteroscopic surgery using the Intrauterine BIGATTI Shaver (IBS®)
The Intrauterine BIGATTI Shaver used this time is composed of a system that removes tissue with a shaver that does not use a high-frequency current generator and uses physiological saline as a perfusate to secure the uterine cavity and eject the excised tissue
Summary
Intrauterine lesions such as endometrial polyps and submucosal myomas are associated with menstrual symptoms such as menorrhagia, metrorrhagia, and dysmenorrhea, and can be a factor in infertility and recurrent miscarriage [1] [2] [3] [4]. The mainstream method of lesion resection is hysteroscopic surgery, combining hysteroresectoscope and a high-frequency current generator (electric scalpel); this surgical procedure needs mastery, and complications due to electric scalpels and perfusate occasionally occur. If the patient expresses desire for childbearing, it is ideal that surgery does not cause new factors for infertility such as endometrial damage. Compared to hysteroscopic surgery with a hysteroresectoscope, this procedure is easier and does not require an electric scalpel, which we expect to result in less complication
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