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001-es BibID:	BIBFORM104993
Első szerző:	Boldogh Bence Zoltán (Orvos)
Cím:	Hysteroscopic polypectomy in an outpatient setting / Bence Zoltán Boldogh, Luca Lukács, Márton György Lipták, Rudolf Lampé, Tünde Herman, Péter Török
Dátum:	2022
Megjegyzések:	Background Endometrial polyps are the most frequently observed benign lesions inside the uterine cavity. The incidence of them is reported about 20 % to 30 % in the female population. Endometrial polyps can be single or multiple, their size varies from a few millimetres to several centimetres. They can be totally asymptomatic or can cause abnormal uterine bleeding and/or infertility. They can be diagnosed by transvaginal ultrasonography, saline infusion ultrasonography, or by direct hysteroscopic visualization, but only the last can offer histological confirmation and proper treatment. Polyps can be removed by blind Dilatation and Curettage (D&C), or by hysteroscopy with direct visualization. Due to the miniaturization of the hysteroscopic devices, polypectomy can be made in an outpatient setting without general anaesthesia and hospitalization. The office-hysteroscopic removal of the polyp can be done with many operative techniques for example: with miniaturized instruments (grasping forceps, scissors), with mini-resectoscope, with tissue removal device (TRD), or with laser. Methods We retrospectively analysed the data of 125 patients, who underwent hysteroscopic polypectomy without general anaesthesia, in an outpatient office, between November 2016 to January 2022. Results The mean age was 41.46 ? 10.50 years, and the mean Body Mass Index (BMI) was 25.22 ? 5.87. The indications for performing office-hysteroscopy were the following: 79 (63.20%) abnormal sonographic findings, 27 (21.60%) infertility, and 19 (15.20%) abnormal uterine bleeding. Out of the 125 polypectomies, 74 (59.20%) were done with mechanical instruments (grasping forceps, scissors), 50 (40.00%) with mini-resectoscope, and 1 (0.80%) with laser. Conclusions Our data show that the toolkit of office-hysteroscopy is appropriate for the treatment of endometrial polyps furthermore, the polypectomy can be performed in an outpatient, cost-effective way without general anaesthesia and hospitalization.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt folyóiratcikk
Megjelenés:	Facts, views & vision in ObGyn. - 14 : 3 (2022), p. P257. -
További szerzők:	Lukács Luca (1995-) (hallgató) Lipták Márton György (1988-) (Orvos) Lampé Rudolf (1983-) (szülész-nőgyógyász) Herman Tünde (1979-) (orvos) Török Péter (1975-) (szülész-nőgyógyász)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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