title: An audit of using the H Pipelle for endometrial sampling at outpatient hysteroscopy and literature review comparison with the Pipelle de Cornier.
abstract: OBJECTIVE
  To analyse the efficiency of the H Pipelle endometrial sampler at "no touch" (vaginoscopic) diagnostic hysteroscopy in terms of biopsy adequacy for histological diagnosis.
  
  
  METHODS
  Retrospective descriptive study of 200 premenopausal women including comparison with previously published data on traditional biopsy instruments.
  
  
  RESULTS
  Biopsy was adequate in 82% of cases overall, rising to 87% in those without submucous fibroids or polyps. Comparison with published data on other biopsy instruments shows that the H Pipelle is at least as efficient.
  
  
  CONCLUSIONS
  The H Pipelle appears to be at least as effective as traditional endometrial samplers even after hysteroscopy but allows hysteroscopy and biopsy to be done using a purely "no touch" (vaginoscopic) technique.
authors.affiliation: Minimally Invasive Therapy Unit and Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, The Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK. mariadiletta@hotmail.com
authors.forename: Maria Diletta
authors.initials: MD
authors.lastname: Dacco'
authors.forename: Mohsen
authors.initials: M
authors.lastname: Moustafa
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Papoutsis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Georgantzis
authors.forename: Gabor
authors.initials: G
authors.lastname: Halmos
authors.forename: Adam
authors.initials: A
authors.lastname: Magos
mesh_terms: D000328:Adult; D001706:Biopsy / Q000295:instrumentation* / Q000379:methods; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D017697:Premenopause; D012189:Retrospective Studies