title: Hysteroscopic Curettage Using the Lin Snare and Y Adaptor: A Review of 300 Cases.
abstract: METHODS
  To present a de novo technique of endometrial sampling - hysteroscopic curettage.
  
  
  OBJECTIVE
  Aim to describe this new procedure and study its effectiveness and accuracy.
  
  
  METHODS
  Prospective study (Canadian Task Force Classification II-2).
  
  
  METHODS
  University-affiliated public hospital.
  
  
  METHODS
  Two hundred and ninety-three consecutive patients who attended outpatient gynaecological endoscopic centre.
  
  
  METHODS
  A total of 300 hysteroscopic curettage was carried out using flexible hysteroscope and Lin snare system.
  
  
  RESULTS
  The procedure failure rate is 2.67%. Out of 292 successful hysteroscopic curettages, hysteroscopy alone has a sensitivity of 99% and negative predictive value of 97.7%. The accuracy was further improved to near perfection with curettage histology. The negative predictive value is 99%.
  
  
  CONCLUSIONS
  Hysteroscopic curettage is easy to perform, highly effective and accurate. It offers an excellent outpatient alternative for patients who require endometrial sampling and/or an evaluation of abnormal uterine bleeding.
authors: Department of Obstetrics and Gynecology, KK Women's and Children's Hospital, Singapore. Electronic address: crystal.yori@gmail.com.
authors: Hsuan
authors: H
authors: Chin
authors: Department of Obstetrics and Gynecology, Kawasaki Municipal Hospital, Kawasaki, Japan.
authors: Bao-liang
authors: BL
authors: Lin
mesh_terms: D000368:Aged; D004107:Dilatation and Curettage / Q000379:methods*; D004717:Endometrium / Q000473:pathology*; D004724:Endoscopy; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D010045:Outpatients; D011247:Pregnancy; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000473:pathology*
keywords: Curettage; Endometrial sampling; Flexible hysteroscopy; Outpatient