The Intra Uterine Morcellator: A new hysteroscopic operating technique to remove intrauterine polyps and myomas

Emanuel, Mark Hans; Wamsteker, Kees

doi:10.1016/j.jmig.2004.12.011

Cited by 189 publications

(146 citation statements)

References 6 publications

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“…Due to the above-mentioned features, the Versapoint® resectoscopy has a long learning curve, explaining why, even today, only a few surgeons perform operative hysteroscopy [17,18]. By removing the tissue chips at the same time as their resection, the Integrated Bigatti Shaver (IBS®) has shown to improve on results of conventional resectoscopy, reducing the complications rate and improving the learning curve time [19].…”

Section: Introductionmentioning

confidence: 99%

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

et al. 2014

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From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS® or the Versapoint® bipolar resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS® and 51 with the Versapoint®. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS® has been able to treat respectively 93.5 % (p=0.3753) and 62.5 % (p=0.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS® Group than in the Versapoint® Group (p=0.0067). Although no significative difference in terms of time of resection, the IBS® has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS® can be considered a valid alternative to the conventional resectoscope.

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Section: Introductionmentioning

confidence: 99%

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

et al. 2014

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“…This was particularly significant if the fibroid size was ≤3 cm but not if the fibroid was >3 cm; 3 cm was chosen as the cut-off between small and large fibroid as previous studies have already shown morcellation of submucosal fibroids of ≤3.0 cm to be safe and effective. 11,12 One of the main reasons for the reduced operating time was the constant suction mechanism at the morcellator blade of the IUM device. This suction constantly removes resected material to maintain a clear view of the uterine cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Previous study has suggested that both experienced operators and training doctors favour the morcellation technique and the learning curve is minimal. 12 Familiarisation with the setup of the system, the technique of hysteroscopic morcellation, management of a loose cervix that can cause fluid leakage as well as fluid control to maintain haemostasis versus a clear visual field remain a challenge. Given more experience with the IUM system, reduced operating times will become more significant.…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopic intrauterine morcellation of submucosal fibroids: preliminary results in Hong Kong and comparisons with conventional hysteroscopic monopolar loop resection

Lee

Matsuzono

2016

Hong Kong Med J

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“…Hysteroscopic-guided polyp resection yields direct visualization of polyps, allowing for complete removal of the specimen. Devices such as grasping forceps, suction curettes, microscissors, electrosurgical loops, morcellators, or bipolar electric probes may be used under direct visualization to ensure that the entire polyp is removed while minimizing risk of uterine perforation [39][40][41].…”

Section: Treatmentmentioning

confidence: 99%

When Should Endometrial Polyps Be Treated?

Lee

Seibel

Kaunitz

2012

Curr Obstet Gynecol Rep

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Endometrial polyps are localized intrauterine overgrowths of endometrial glands and stroma covered by a surface epithelium. They occur singularly or in multiples, may be sessile or pedunculated, and range from a few millimeters to several centimeters in size. They are common, present in 7.8%-41% of women. Their detection has increased with the advent of high-resolution transvaginal sonography, saline-infusion ultrasonography, and hysteroscopy. Polyps are encountered in both premenopausal and postmenopausal women. Many women are asymptomatic, while others present with abnormal bleeding patterns. Most polyps are benign, but hyperplastic and malignant polyps also may occur. Appropriate management of endometrial polyps includes observation, medication, and surgery. Treatment of these lesions should be tailored to each patient based on their symptoms, menopausal status, risk of malignancy, and fertility desires.

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The Intra Uterine Morcellator: A new hysteroscopic operating technique to remove intrauterine polyps and myomas

Cited by 189 publications

References 6 publications

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscope: a retrospective comparative study

Hysteroscopic intrauterine morcellation of submucosal fibroids: preliminary results in Hong Kong and comparisons with conventional hysteroscopic monopolar loop resection

When Should Endometrial Polyps Be Treated?

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