Abstract
A single-center observational retrospective comparative study was performed, including 190 patients who underwent hysteroscopic resection of endometrial polyps from January 2017 to December 2017. The hysteroscopic techniques were TRUCLEAR 5.5® to morcellation and Karl Storz® monopolar resection.
Highlights
Endometrial polyps justify a large part of dysfunctional bleeding in fertile women and an important part of metrorrhagia in postmenopausal patients [1,2,3]
Regarding the mean size of the polyps, the hysteroscopic morcellation group was 1.45 ± 0.77 cm compared to 1.32 ± 0.66 cm of the electrosurgical resection group (p < 0.203) (Table 2)
In this retrospective study conducted in a hospital that attends a large number of patients, we compared the 2 hysteroscopy methods available in the Obstetrics and Gynecology Department, and observed a 29% increase in the intervention time with the electrical resection
Summary
Endometrial polyps justify a large part of dysfunctional bleeding in fertile women and an important part of metrorrhagia in postmenopausal patients [1,2,3]. The most common procedure consists of the exeresis of endometrial polyps [4], called “see and treat”, because in the same surgical act the existence of the polyp is confirmed and the polypectomy is made, as a unique surgical act. A recent technique in surgical hysteroscopy is hysteroscopic morcellation, as an effective and safe alternative to electrosurgical resection [5]. The first study about the use of the morcellator was published by Emanuel, et al where they recorded a significant reduction in surgical time in polypectomies and resections of myomas type I and II with morcellator, compared to the traditional resector [6]. Hysteroscopic morcellation consists of a rigid internal tube that rotates inside another outer tube and combines cutting and aspiration.
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