EFFECTIVENESS OF A NEW, LOWER-COST MANUAL HYSTEROSCOPIC TISSUE REMOVAL DEVICE (POLYGON) IN AN OFFICE SETTING

Abstract

This retrospective single site case series was carried out to evaluate the effectiveness of a new, lower-cost manual hysteroscopic tissue removal device (Polygon) in an office setting. Retrospective single site in an office setting Six consecutive premenopausal women previously diagnosed by sonohystogram with presumed endometrial polyps underwent hysteroscopic polypectomy by two different surgeons using a new manual hysteroscopic tissue removal device (Polygon) through a 6.25 mm 0 degree hysteroscope (Myosure, Hologic Inc). Hysteroscope insertion and removal times, device insertion and removal times, fluid used and number of polyps removed were recorded. In all six patients, the pathology was completely removed. The average total case time was 7.3 minute (range 5-10) although the average time the device was inserted to remove the pathology was only 4 minutes (range 2-6). The average fluid used was 900 cc (range 500-1350). Three women had 1 polyp removed, two women had 2 polyps removed and 1 woman had 5 polyps removed. A new, lower cost manual hysteroscopic tissue removal device (Polygon) is effective in quickly removing endometrial polyps in an office setting and merits further evaluations to compare it with other current technologies.