Bipolar electrical energy in physiologic solution--a revolution in operative hysteroscopy.
OBJECTIVE
To evaluate the feasibility and efficiency of operative hysteroscopy in physiologic saline solution.


METHODS
Prospective observational study (Canadian Task Force classification II-2).


METHODS
Tertiary university hospital.


METHODS
One hundred sixteen women (56% menopausal) with intrauterine pathology with or without symptoms, in whom malignancy was excluded by endometrial sampling.


METHODS
Operative hysteroscopy for resection of uterine septa, lysis of adhesions, and resection of myomas or polyps using a bipolar electrical energy system (VersaPoint) developed for this purpose.


RESULTS
Polyps were significantly more common in menopausal than in premenopausal women. Symptoms (mainly bleeding) occurred in 66.9% of premenopausal and 74.5% of menopausal patients. Endometrial polyps and submucous myomata were associated with symptoms in 68% and 70%, respectively. Operating time was less than 25 minutes. Two specimens revealed malignancy. One uncomplicated uterine perforation occurred.


CONCLUSIONS
This new technique has the potential to replace monopolar-based intrauterine interventions and may become the treatment of choice for benign intrauterine pathology.
Golan
A
A
Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon 58100, Israel.
Sagiv
R
R
Berar
M
M
Ginath
S
S
Glezerman
M
M
D016889:Endometrial Neoplasms / Q000175:diagnosis; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis; D011446:Prospective Studies; D012462:Saline Solution, Hypertonic; D014591:Uterine Diseases / Q000175:diagnosis*
D012462:Saline Solution, Hypertonic