[Hysteroscopic morcellation versus bipolar resection for endometrial polyp removal]

Gynecol Obstet Fertil. 2015 Feb;43(2):104-8. doi: 10.1016/j.gyobfe.2014.12.012. Epub 2015 Jan 13.
[Article in French]

Abstract

Objective: The treatment of endometrial polyps is based on hysteroscopic resection. The aim of the current study was to compare the results associated with hysteroscopic morcellation and those observed with bipolar loop resection.

Patients and methods: A single-center observational retrospective comparative study was performed, including 25 patients who underwent hysteroscopic resection of endometrial polyps from January 2012 to December 2013. The mean size of polyp was 9.2 mm in the group compared to 12.5mm in the resection group loop (P=0.06).

Results: Twelve patients underwent resection of the polyp morcellation with MyoSure(®) and 13 with bipolar resection loop Versapoint(®) 24F. The mean operative time was 16 minutes in morcellation group and 17 minutes in the bipolar resection group (P=0.76). Complete removal was achieved in 100% of cases in morcellation group and in bipolar loop resection. Regarding intraoperative and postoperative complications, no complication was observed in the two groups.

Discussion and conclusion: Results associated with hysteroscopic morcellation and bipolar loop resection seen to be comparable.

Keywords: Bipolar resection; Complication; Hysteroscopic morcellation; Hystéroscopie opératoire; Morcellement; Polyp; Polype; Résection.

Publication types

  • Comparative Study
  • Observational Study

MeSH terms

  • Adult
  • Female
  • Humans
  • Hysteroscopy*
  • Morcellation*
  • Operative Time
  • Polyps / surgery*
  • Postoperative Complications
  • Retrospective Studies
  • Uterine Diseases / surgery*