title: Feasibility and Acceptability of Office-Based Polypectomy With a 16F Mini-Resectoscope: A Multicenter Clinical Study.
abstract: OBJECTIVE
  To investigate the feasibility and acceptability of office hysteroscopic polypectomy using a novel continuous-flow operative 16F mini-resectoscope.
  
  
  METHODS
  Multicenter prospective case series (Canadian Task Force classification III).
  
  
  METHODS
  "SS Antonio e Biagio" Hospital, Alessandria, and University "Federico II" of Naples.
  
  
  METHODS
  One hundred eighty-two patients with endometrial polyps.
  
  
  METHODS
  Hysteroscopic polypectomy performed with 16F mini-resectoscope in an office setting, without analgesia and/or anesthesia.
  
  
  RESULTS
  Polypectomy was successfully performed in 175 patients in a single surgical step (96.15%), with only 1 patient (.54%) requiring a second office surgical step to complete the surgery. Seven patients (3.84%) were excluded from the analysis of operative parameters because of severe pelvic pain during the office procedure, which required a second inpatient surgical step. No major complications were recorded.
  
  
  CONCLUSIONS
  Our findings demonstrate that removal of endometrial polyps using the 16F mini-resectoscope in an office setting is a feasible and safe surgical option. Outpatient see-and-treat polypectomy is an acceptable and effective alternative to inpatient resectoscopic polypectomy.
authors.affiliation: Department of Obstetrics and Gynecology, "SS Antonio e Biagio " Hospital, Alessandria, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Dealberti
authors.affiliation: Department of Obstetrics and Gynecology, "SS Antonio e Biagio " Hospital, Alessandria, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Riboni
authors.affiliation: Department of Obstetrics and Gynecology, "Sant'Anna" Hospital, Torino, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Cosma
authors.affiliation: Department of Obstetrics and Gynecology, "SS Antonio e Biagio " Hospital, Alessandria, Italy.
authors.forename: Carla
authors.initials: C
authors.lastname: Pisani
authors.affiliation: Department of Obstetrics and Gynecology, "G. Borea" Hospital, Sanremo, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Montella
authors.affiliation: Department of Human Pathology, School and Division of Allergy and Clinical Immunology, University Hospital, Messina, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Saitta
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital "P. Giaccone", Palermo, Italy.
authors.forename: Gloria
authors.initials: G
authors.lastname: Calagna
authors.affiliation: Department of Public Health, School of Medicine, University "Federico II" of Naples, Italy. Electronic address: cdispie@tin.it.
authors.forename: Attilio
authors.initials: A
authors.lastname: Di Spiezio Sardo
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000295:instrumentation / Q000379:methods; D000698:Analgesia / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000295:instrumentation / Q000379:methods; D007558:Italy / Q000453:epidemiology; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000517:prevention & control*; D010147:Pain Measurement; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011127:Polyps / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011446:Prospective Studies; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*
keywords: Endometrial polyp; Mini-resectoscope; Office hysteroscopy; Polypectomy