Review of New Office-Based Hysteroscopic Procedures 2003–2009

Sardo, Attilio Di Spiezio; Bettocchi, Stefano; Spinelli, Marialuigia; Guida, Maurizio; Nappi, Luigi; Angioni, Stefano; Fernandez, Loredana Maria Sosa; Nappi, Carmine

doi:10.1016/j.jmig.2010.03.014

Cited by 120 publications

(56 citation statements)

References 53 publications

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“…This operation can be performed as an outpatient procedure in a usual gynecologic consultation room, without any type of anesthesia or sedation, and is associated with great overall patient satisfaction [4][5][6][7][8][9].…”

Section: Discussmentioning

confidence: 99%

Ultrasound Assessment of the Essure Contraceptive Devices: Is Three-Dimensional Ultrasound Really Needed?

Paladini¹,

Sardo²,

Coppola³

et al. 2015

Journal of Minimally Invasive Gynecology

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Section: Discussmentioning

confidence: 99%

Ultrasound Assessment of the Essure Contraceptive Devices: Is Three-Dimensional Ultrasound Really Needed?

Paladini¹,

Sardo²,

Coppola³

et al. 2015

Journal of Minimally Invasive Gynecology

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“…Given its safety and feasibility, operative hysteroscopy has become the standard for the treatment of endometrial polyps, which affect 10% of premenopausal and 20% of postmenopausal women with abnormal uterine bleeding including endometrial/endocervical polyps [2,3]. Most operative hysteroscopies are performed in the setting of an operating room under general anesthesia [4,5], causing major costs and risk of failure in patients with serious medical conditions such as hemodynamic instability, laryngospasm, bronchial asthma, and a previous reaction to general anesthesia [6]. The recent advantages in endoscopic instrumentation allow clinicians to perform quicker, less expensive, and safer operative hysteroscopy with local anesthesia plus moderate sedation [7].…”

Section: Discussmentioning

confidence: 99%

Parenterally Administered Moderate Sedation and Paracervical Block Versus General Anesthesia for Hysteroscopic Polypectomy: A Pilot Study Comparing Postoperative Outcomes

Centini

Calonaci

Lazzeri

et al. 2015

Journal of Minimally Invasive Gynecology

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“…Control hysteroscopy was scheduled at 3, 12, 24, and 60 months after the surgery. It was performed by using vaginoscopic approach, with a continuous-flow hysteroscope using Telescope 2.9 mm (HOPKINS II Forward-Oblique Telescope 30°; Karl Storz, Tuttlingen, Germany) [17,18]. The uterine cavity was distended with temperate saline solution and irrigated using an electronic irrigation pump (Hysteromat, Karl Storz ® , Karl Storz, Tuttlingen, Germany).…”

Section: Subjectsmentioning

confidence: 99%

Proposal of a modified transcervical endometrial resection (TCER) technique for menorrhagia treatment. Feasibility, efficacy, and patients’ acceptability

et al. 2014

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The aim of this study is to evaluate the feasibility, efficacy, safeness, and patients' acceptability of a modified transcervical endometrial resection (TCER) technique for the treatment of menorrhagia. Eighty-four premenopausal women with menorrhagia after careful investigation and 2 months therapy with GnRHa underwent a modified TCER. It was performed with a standard dual channel, 26 French irrigating resectoscope (Karl Storz, GmbH, Germany) after cervix dilatation to 10 mm and sorbitol mannitol solution used as distension medium. The modified technique was based on the resection of the endometrium and of the first myometrial layers only on the anterior and posterior walls, without treating fundus and cornual areas as usually performed. Endometrial resection was performed to a depth of 4 to 5 mm. Clinical and hysteroscopic follow-up was performed for 60 months. Early and late complications, changing in bleeding patterns, and patients' satisfaction were recorded. Sixty-four out of 73 patients that completed the 60 months improved. Eumenorrhea was achieved in 68.5 %, hypomenorrhea in 5.5 %, and amenorrhea in 13.7 %. Most of the patients (86.3 %) showed satisfaction at the follow-up interview. Control hysteroscopy showed that post modified TCER uterine cavity maintained the possibility of macroscopic and histopathology investigation during follow-up. Modified TCER is a technique easy to perform and effective in the long-term resolution of menorrhagia. In particular, it avoids the formation of synechiae and the shrinkage of the uterine cavity that may be the cause of various long-term complications, such as the delay in the diagnosis of endometrial carcinoma onset.

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Review of New Office-Based Hysteroscopic Procedures 2003–2009

Cited by 120 publications

References 53 publications

Ultrasound Assessment of the Essure Contraceptive Devices: Is Three-Dimensional Ultrasound Really Needed?

Ultrasound Assessment of the Essure Contraceptive Devices: Is Three-Dimensional Ultrasound Really Needed?

Parenterally Administered Moderate Sedation and Paracervical Block Versus General Anesthesia for Hysteroscopic Polypectomy: A Pilot Study Comparing Postoperative Outcomes

Proposal of a modified transcervical endometrial resection (TCER) technique for menorrhagia treatment. Feasibility, efficacy, and patients’ acceptability

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