The Pipelle: A disposable device for endometrial biopsy

Cornier, E

doi:10.1016/s0002-9378(84)80043-5

Cited by 67 publications

(27 citation statements)

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“…Other recent studies have also demonstrated the ade quacy of the specimens obtained and the acceptability of sampling with the Pipelle procedure to both patients and clinicians [3][4][5][6], Pipelle endometrial sampling is also effective for the assessment of luteal function [5,7], The reported number of patients with endometrial car cinoma diagnosed by Pipelle aspiration is small [8]. Kaunitz et al [9] found no cases of endometrial carcinoma among 30 outpatients who underwent Pipelle endometri al biopsy for abnormal bleeding.…”

Section: Discussionmentioning

confidence: 99%

Outpatient Endometrial Sampling with the Pipelle Curette

Ben‐Baruch

Seidman

Schiff

et al. 1994

Gynecol Obstet Invest

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This study compares outpatient endometrial sampling using the Pipelle endometrial sampling curette with conventional dilation and curettage (D&C) in patients with abnormal uterine bleeding. Endometrial sampling with the Pipelle curette was performed in 172 and D&C in 97 women. No complications were encountered with either of these procedures. One hundred and seventy (98.8%) of the Pipelle aspirations attempted were successfully completed. Sufficient material for histological assessment was obtained in 154 (90.6%) of the women who underwent Pipelle endometrial sampling and in only 66 (68%) of those who underwent D&C (p < 0.0001). In postmenopausal women, adequate specimens were obtained in 74 of 88 (84.1 %) by Pipelle and in only 22 of 48 (45.8%) by D&C. In 45 cases the histologic diagnosis of the endometrium obtained by Pipelle sampling was compared with the one of endometrium obtained by D&C or hysterectomy performed shortly thereafter. The diagnosis was identical in 43 (95.5%) cases. Endometrial sampling with the Pipelle was well tolerated causing occasionally only slight discomfort.

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Section: Discussionmentioning

confidence: 99%

Outpatient Endometrial Sampling with the Pipelle Curette

Ben‐Baruch

Seidman

Schiff

et al. 1994

Gynecol Obstet Invest

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“…The small-diameter, disposable, flexible cannula with its own internal suction piston provides endometrial biopsy in an office setting. 25 Using a decision analytic framework 26 it has been postulated that the use of Pipelle biopsy could reduce the costs of the diagnostic workup for abnormal uterine bleeding without affecting life expectancy. The biopsy can be performed quickly, with few complications, and is generally well tolerated by the patient.…”

Section: Endometrial Biopsymentioning

confidence: 99%

Diagnosis of abnormal uterine bleeding with biopsy or hysteroscopy

Bradley

2011

Menopause

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Abnormal uterine bleeding in women is a common cause for gynecologic consultation. Physicians must maintain a low threshold for endometrial assessment in abnormal uterine bleeding. Accurately determining the etiology of the bleeding permits appropriate treatment, minimizes unnecessary delays in therapy, and prevents needless worry in women. There are few national consensus guidelines, best practice guidelines, or treatment algorithms that provide gynecologists with scrupulous data to make concise decisions for the utilization of technology such as endometrial biopsy, transvaginal ultrasound, saline infusion sonography, or hysteroscopy in the evaluation of menstrual aberrations. Using technology that has a high sensitivity to detect a disease allows a physician to make concise decisions for proceeding with minimally invasive procedures or reliance on medical therapies that will probably be effective.

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“…Compared with other office sampling devices such as the Novak or the Vabra curette, the Pipelle® de Cornier [1] has been reported to cause less procedure-related pain while offering a similar diagnostic accuracy [2,3]. The popularity of the Pipelle® for office endometrial sampling dates from the early 1990s.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound examination before, during, and after office endometrial sampling

2013

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Office endometrial sampling is widely used as the first diagnostic test in women with abnormal uterine bleeding. Because office sampling is a blind procedure, the lesion causing the symptoms may be missed. The use of ultrasound before, during, and after office endometrial sampling improves relevant tissue yield. The measurement of the endometrial thickness informs if sampling is indicated. The evaluation of ultrasound features (without or with fluid instillation) may suggest a focal intracavitary lesion necessitating operative hysteroscopy. The knowledge of the uterine cavity length, shape, and flexion may avoid nonrepresentative sampling. The concordance between the tissue yield and the ultrasound findings reflects the reliability of the sampling. If not concordant, further diagnostic steps such as fluid instillation sonography or hysteroscopy are indicated. We conclude that integrating ultrasound in the diagnostic algorithm for uterine intracavitary pathology optimizes office endometrial sampling.

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The Pipelle: A disposable device for endometrial biopsy

Cited by 67 publications

References 0 publications

Outpatient Endometrial Sampling with the Pipelle Curette

Outpatient Endometrial Sampling with the Pipelle Curette

Diagnosis of abnormal uterine bleeding with biopsy or hysteroscopy

Ultrasound examination before, during, and after office endometrial sampling

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