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The REP-b (removal of endometrial pathologies-basket) in-office hysteroscopy

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Abstract

The aim of this study was to assess the safety, effectiveness and advantages of a new surgical technique for the extraction of endometrial polyps after in-office hysteroscopic polipectomy. Between November 2009 and September 2013, 140 pre- and post-menopausal women with a sonographic diagnosis of endometrial polyps underwent polypectomy in-office hysteroscopy, followed by lesion removal using classical surgical instruments or the new REP-b technique. A total of 70 women underwent endometrial polyp removal using the new surgical technique REP-b (GROUP A), and 70 women received endometrial polyp removal using classical surgical instruments (GROUP B). The extraction time Tr, calculated as the time from the introduction of the basket into the operative hysteroscopic sheath to the complete removal of the previously sectioned polyp, in GROUP A (REP-b technique) was significantly lower compared with GROUP B (control group). The median Tr for GROUP A was 29.50 s versus the median Tr for GROUP B of 54.00 s (P < 0.01). The use of the REP-b technique improves the outcome of the operation and reduces the extraction time for the removal of endocavitary uterine lesions.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Standard

The study protocol was approved by the Ethics Committee of the Department and conformed to the ethical guidelines of the Helsinki Declaration (as revised in Tokyo 2004).

Research involving human participants and/or animals

No animals but only human participants were engaged in our study protocol.

Informed consent

Informed written consent was obtained from each woman before taking part in the study, and patient anonymity was maintained. The study was not advertised and no remuneration was offered.

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Authors and Affiliations

  1. Gynecology and Obstetrics Section, Department of Medical Surgical Specialties, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy

    Maria Chiara Sudano, Salvatore Giovanni Vitale & Agnese Maria Chiara Rapisarda

  2. Hysteroscopy Surgery for the Diagnosis and Treatment of Endometrial Pathologies, HUMANITAS Centro Catanese di Oncologia, Catania, Italy

    Denise Carastro & Gaetano Zizza

  3. Department of Surgery, University of Catania, Catania, Italy

    Alessandro Tropea

Authors
  1. Maria Chiara Sudano
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  2. Salvatore Giovanni Vitale
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  3. Agnese Maria Chiara Rapisarda
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  4. Denise Carastro
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  5. Alessandro Tropea
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  6. Gaetano Zizza
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Corresponding author

Correspondence to Salvatore Giovanni Vitale.

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Sudano, M.C., Vitale, S.G., Rapisarda, A.M.C. et al. The REP-b (removal of endometrial pathologies-basket) in-office hysteroscopy. Updates Surg 68, 407–412 (2016). https://doi.org/10.1007/s13304-015-0294-3

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  • DOI: https://doi.org/10.1007/s13304-015-0294-3

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