title: The REP-b (removal of endometrial pathologies-basket) in-office hysteroscopy.
abstract: The aim of this study was to assess the safety, effectiveness and advantages of a new surgical technique for the extraction of endometrial polyps after in-office hysteroscopic polipectomy. Between November 2009 and September 2013, 140 pre- and post-menopausal women with a sonographic diagnosis of endometrial polyps underwent polypectomy in-office hysteroscopy, followed by lesion removal using classical surgical instruments or the new REP-b technique. A total of 70 women underwent endometrial polyp removal using the new surgical technique REP-b (GROUP A), and 70 women received endometrial polyp removal using classical surgical instruments (GROUP B). The extraction time Tr, calculated as the time from the introduction of the basket into the operative hysteroscopic sheath to the complete removal of the previously sectioned polyp, in GROUP A (REP-b technique) was significantly lower compared with GROUP B (control group). The median Tr for GROUP A was 29.50 s versus the median Tr for GROUP B of 54.00 s (P < 0.01). The use of the REP-b technique improves the outcome of the operation and reduces the extraction time for the removal of endocavitary uterine lesions.
authors.affiliation: Gynecology and Obstetrics Section, Department of Medical Surgical Specialties, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy.
authors.forename: Maria Chiara
authors.initials: MC
authors.lastname: Sudano
authors.affiliation: Gynecology and Obstetrics Section, Department of Medical Surgical Specialties, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy. vitalesalvatore@hotmail.com.
authors.forename: Salvatore Giovanni
authors.initials: SG
authors.lastname: Vitale
authors.affiliation: Gynecology and Obstetrics Section, Department of Medical Surgical Specialties, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy.
authors.forename: Agnese Maria Chiara
authors.initials: AM
authors.lastname: Rapisarda
authors.affiliation: Hysteroscopy Surgery for the Diagnosis and Treatment of Endometrial Pathologies, HUMANITAS Centro Catanese di Oncologia, Catania, Italy.
authors.forename: Denise
authors.initials: D
authors.lastname: Carastro
authors.affiliation: Department of Surgery, University of Catania, Catania, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Tropea
authors.affiliation: Hysteroscopy Surgery for the Diagnosis and Treatment of Endometrial Pathologies, HUMANITAS Centro Catanese di Oncologia, Catania, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Zizza
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004717:Endometrium / Q000473:pathology*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000295:instrumentation*; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis / Q000601:surgery*; D011446:Prospective Studies; D013997:Time Factors; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*
keywords: Endometrial polyp; Hysterobasket; In-office hysteroscopy; REP-b