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Feasibility of hysteroscopic endometrial polypectomy using a new dual wavelengths laser system (DWLS): preliminary results of a pilot study

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Abstract

Purpose

Currently, endometrial polyps may be successfully treated in an outpatient setting with 5 Fr mechanical and bipolar instruments. Our aim is to evaluate the benefits of minimally invasive techniques in hysteroscopy, focusing on the use of a new dual wavelengths laser system in the treatment of endometrial polyps in an outpatient setting.

Methods

Between September 2012 and December 2014, all consecutive patients of reproductive and menopausal age with ultrasound diagnosis of endometrial polyp with maximum diameter ≤2.5 cm were eligible to participate in a prospective study. They underwent a hysteroscopic procedure with excision of the polyp using a new dual wavelengths laser system. All procedures were performed on an outpatient basis without anesthesia.

Results

Laser polypectomy was successfully performed in 219 out of 225 (97.3%). Success of surgery was not influenced by the initial location of polyp. No main complications were reported during or immediately after the procedure. 6 and 12 months follow-up with ultrasound scan did not show any persistence or recurrence of the pathology.

Conclusions

Our preliminary findings seem to support the safety and the effectiveness of the laser hysteroscopic endometrial polypectomy. However, further studies are mandatory to validate its use in daily hysteroscopic practice.

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Author information

Authors and Affiliations

  1. Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Viale L. Pinto, 71100, Foggia, Italy

    Luigi Nappi & Felice Sorrentino

  2. Department of Surgical Sciences, Institute of Obstetrics and Gynecology, University of Cagliari, Cagliari, Italy

    Stefano Angioni

  3. Department of Obstetrics and Gynecology, San Francesco Hospital, Nuoro, Italy

    Alessandro Pontis

  4. Department of Obstetrics and Gynecology, University Medical School of Padova, Padua, Italy

    Pietro Litta

  5. Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Ferrara, Italy

    Pantaleo Greco

Authors
  1. Luigi Nappi
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  2. Felice Sorrentino
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  3. Stefano Angioni
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  4. Alessandro Pontis
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  5. Pietro Litta
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  6. Pantaleo Greco
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Corresponding author

Correspondence to Felice Sorrentino.

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We declare that we have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Nappi, L., Sorrentino, F., Angioni, S. et al. Feasibility of hysteroscopic endometrial polypectomy using a new dual wavelengths laser system (DWLS): preliminary results of a pilot study. Arch Gynecol Obstet 295, 3–7 (2017). https://doi.org/10.1007/s00404-016-4232-5

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  • DOI: https://doi.org/10.1007/s00404-016-4232-5

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