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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2012, Number 12

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Ginecol Obstet Mex 2012; 80 (12)

Operative office hysteroscopy using Bipolar technology. Our experience in seven years

Alanís FJ, Mancera PÓA, Lara FJG
Full text How to cite this article

Language: Spanish
References: 11
Page: 749-752
PDF size: 178.53 Kb.


Key words:

Office hysteroscopy, patient acceptability, bipolar technology.

ABSTRACT

Background: In the last decade have developed small diameter instruments with pods streaming and highly efficient working channels that allow outpatient surgical procedures.
Objective: To evaluate the utility of operative office hysteroscopy with the use of the bipolar electrosurgical system. We analyzed clinical characteristics, results and patient acceptability.
Material and methods: We performed a descriptive study of 1591 operative hysteroscopies, using an office hysteroscopic procedure with Bipolar technology; with a 5.5 mm rigid hysteroscope Bettocchi type.
Results: The mean operating time was 8 min. The most common procedure was polypectomy. Severe pain and/or vagal reflex occurred in less than 0.7% of the patients.
Conclusions: The Bipolar technology facilitates operative office hysteroscopy and allows resectoscopy to be reserved for the treatment of special cases. Patient acceptability is high.



REFERENCES

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  2. Bettocchi S, Nappi L, Ceci O, Selvaggi L. What does “diagnostic hysteroscopy” mean today? The role of the new techniques. Curr Opin Obstet Gynecol 2003;15:303-308.

  3. Valle RF. Office hysteroscopy. Clin Obstet Gynecol 1999;42:276-289.

  4. Bettocchi S, Di Venere R, Pansini N, Pellegrino A, Santamato S, Ceci O. Endometrial biopsies using small diameter hysteroscopes and 5F instruments: how can we obtain enough material for a correct histologic diagnosis? J Am Assoc Gynecol Laparosc 2002;9:290-292.

  5. Guida M, Pellicano M, Zullo F, Acunzo G, Lavitola G, Palomba S, et al. Outpatient operative hysteroscopy with bipolar electrode: a prospective multicentre randomized study between local anaesthesia and conscious sedation. Hum Reprod 2003;18:840-843.

  6. Lindheim SR, Kavic S, Shulman SV, Sauer MV. Operative hysteroscopy in the office setting. J Am Assoc Gynecol Laparosc 2000;7:65-69.

  7. Vilos GA. Intrauterine surgery using a new coaxial bipolar electrode in normal saline solution (Versapoint): a pilot study. Fertil Steril 1999;72:740-743.

  8. Clark TJ, Mahajan D, Sunder P, Gupta JK. Hysteroscopic treatment of symptomatic fibroids using bipolar intrauterine system: a feasibility study. Eur J Gynecol Reprod Biol 2002;100:237- 242.

  9. Golan A, Sagiv R, Berar M, Ginath S, Glezerman M. Bipolar electrical energy in physiologic solution. A revolution in operative hysteroscopy. J Am Assoc Gynecol Laparosc 2001;8:252-258.

  10. Kung RC, Vilos GA, Thomas B, Penkin B, Zaltz AP, Stabinsky SA. A new bipolar system for performing operative hysteroscopy in normal saline. J Am Assoc Gynecol Laparosc 1999;6:331-336.

  11. Marwah V, Bhandari SK. Diagnostic and interventional microhysteroscopy with use of the coaxial bipolar electrode system. Fertil Steril 2003;79:413-417.




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Ginecol Obstet Mex. 2012;80