Morcelador histeroscópico (Truclear System®): nuestra experiencia inicial

Pampalona, Jennifer Rovira; García, Esther Ratia; Casas, Esther Muñoz; Pruñonosa, Joan Carles Mateu; Bastos, Maria Degollada; Garcia, Angel Guerra; Torras, Pere Brescó

doi:10.1016/j.pog.2012.04.002

Progresos de Obstetricia y Ginecología

2012

DOI: 10.1016/j.pog.2012.04.002

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Morcelador histeroscópico (Truclear System®): nuestra experiencia inicial

Jennifer Rovira Pampalona

Esther Ratia García

Esther Muñoz Casas

et al.

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Cited by 5 publications

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“…Besides other advantages, this new morcellator provides for non-reliance on anesthesia or cervical dilation, thereby leading to positive outcomes in patients who undergo hysteroscopic myomectomy due to infertility or multiple miscarriages [11]. This new device works on mechanical energy, instead of electrical energy, and involves continuous cutting movements and aspiration, thus reducing the risk of complications, such as burns, uterine perforation, massive absorption of glycine, or air emboli [81213]. In addition, compared to the classical resectoscope, the learning curve associated with this morcellator is shorter and easier [7].…”

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confidence: 99%

Hysteroscopic myomectomy without anesthesia

et al. 2019

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Objective Scarce literature about myoma removal without anesthesia has been published. The aim of this paper is to evaluate the feasibility of a new alternative for a hysteroscopic myomectomy in a conventional office setting, without need for anesthesia. Methods Step-by-step description of the surgical technique has been provided, based on video images. An office hysteroscopy was performed in a Gynecological Endoscopy Department of a tertiary European hospital. Results A 49-year-old woman was referred for management of severe hypermenorrhea. Consent and approval were received from the patient and the institutional review board, respectively. The introduction of a Truclear ® hysteroscopic polyp morcellator of 5.5 mm with optic of 0 degrees into the uterine cavity did not require any kind of anesthesia or cervical dilatation. The use of saline flow helped distend the cavity and identify a submucosal myoma. Under direct vision, a full myomectomy was performed via mechanical energy with continuous cutting movements, without any complication. After the procedure was completed, the excised material was aspirated through the device into a collecting pouch. A successful complete morcellation of a Type-0 submucosal leiomyoma with a polyp morcellator device was performed in an outpatient setting. Good medical results, good tolerance by the patient besides lower surgical risks due to mechanical instead of electrical energy are shown. Conclusion In conclusion, this video demonstrates that a hysteroscopic myomectomy can be performed successfully in office with lower risk of complications from the procedure and without use of general anesthesia besides good tolerance by the patient.

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Hysteroscopic myomectomy without anesthesia

et al. 2019

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Nouvelle technique en hystéroscopie : les morcellateurs hystéroscopiques

Garbin

Schwartz

2014

Gynécologie Obstétrique & Fertilité

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Hysteroscopic Morcellation Versus Resection for the Treatment of Uterine Cavitary Lesions: A Systematic Review and Meta-analysis

Shazly

Laughlin-Tommaso

Breitkopf

et al. 2016

Journal of Minimally Invasive Gynecology

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Morcelador histeroscópico (Truclear System®): nuestra experiencia inicial

Cited by 5 publications

References 15 publications

Hysteroscopic myomectomy without anesthesia

Hysteroscopic myomectomy without anesthesia

Nouvelle technique en hystéroscopie : les morcellateurs hystéroscopiques

Hysteroscopic Morcellation Versus Resection for the Treatment of Uterine Cavitary Lesions: A Systematic Review and Meta-analysis

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