scholarly journals Clinical analysis of the MyoSure hysteroscopic tissue removal system of endometrial polyps in women with an intact hymen

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiahui Yong ◽  
Xiaohui Guo ◽  
Hua Lan ◽  
Jing Yuan ◽  
Da Zeng ◽  
...  
Keyword(s):  
Blood Loss ◽  
Intraoperative Complications ◽  
Abnormal Uterine Bleeding ◽  
Clinical Analysis ◽  
Uterine Perforation ◽  
Surgical Time ◽  
Endometrial Polyps ◽  
Tissue Removal ◽  
Turp Syndrome ◽  
Removal System

Abstract Background To investigate the clinical efficacy of the MyoSure hysteroscopic tissue removal system in the treatment of endometrial and cervical polyps in women with an intact hymen. Methods Retrospective analysis was performed on the clinical data of 32 patients treated with the MyoSure hysteroscopic tissue removal system for endometrial and cervical polyps. Results All the patients successfully completed the procedure. No intraoperative complications, such as cervical trauma, uterine perforation or TURP syndrome, were reported. The surgical time ranged from 5 to 35 min, with an average time of 19.3 min, and the intraoperative blood loss ranged from 2 to 50 ml with an average blood loss of 10.8 ml. After surgery, all patients were shown to have intact hymens. No residual polyp tissues were observed under the microscope, and abnormal uterine bleeding was relieved. Conclusions The MyoSure hysteroscopic tissue removal system can be a safe and effective treatment for endometrial and cervical polyps in women with an intact hymen.

scholarly journals Clinical Analysis of the Myosure Hysteroscopic Tissue Removal System in 740 Cases of Benign Intrauterine Lesions

2021 ◽  
Author(s):  
Jiahui Yong ◽  
Xiaohui Guo ◽  
Chu Liu ◽  
Jing Yuan ◽  
Yajun Wan ◽  
...  
Keyword(s):  
Blood Loss ◽  
Clinical Efficacy ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Complete Resection ◽  
Intraoperative Blood Loss ◽  
Childbearing Age ◽  
Endometrial Polyps ◽  
Tissue Removal ◽  
Removal System

Abstract Objective: To investigate the clinical efficacy of the MyoSure hysteroscopic tissue removal system in the treatment of benign intrauterine lesions. Methods: Retrospective analysis was performed on the clinical data of 740 patients treated with the MyoSure hysteroscopic tissue removal system for benign intrauterine lesions from September 2014 to December 2018, including 131 cases of submucosal myomas, 85 cases of endometrial polyps and 524 cases of RPOC. The clinical efficacy of MyoSure surgery was analyzed according to patients’ intraoperative conditions (intraoperative blood loss, operative time, lesion complete resection rate, and intraoperative complications) and postoperative symptom relief rate. Results: All 740 patients successfully completed the operation. The intraoperative blood loss was 17.09±14.87ml, 11.78±10.89ml and 29.50±13.74ml for submucosal myomas, endometrial polyps and RPOC, respectively, and the operative time was 42.37±19.33min, 20.96±8.99min and 30.47±14.04min, respectively. The complete resection rates (CRRs) of type 0, type Ⅰ and type Ⅱ lesions and mixed type fibroids were 100.0% (45/45), 96.00% (48/50), 85.67% (13/15) and 75.00% (9/12), respectively. For endometrial polyps and RPOC, the CRRs were 100% (85/85) and 98.28% (515/524), respectively. No intraoperative complications, such as uterine perforation, were reported with the exception of one patient with RPOC who exhibited TURP syndrome during the operation. The postoperative satisfaction rates for submucosal myomas, endometrial polyps and RPOC were 94.66% (124/131), 100.0% (85/85) and 98.85% (518/524), respectively. The conception rate was 47.91% (172/359), and the live birth rate was 59.30% (102/172). Conclusions: The MyoSure hysteroscopic tissue removal system is a safe and effective new treatment for benign intrauterine lesions for women of childbearing age.

scholarly journals Massive hemorrhage after resection of uterine endocervical polyp and endometrial polyps with hysteroscopic tissue removal system

2021 ◽  
Vol 2 (9) ◽  
pp. e0141
Author(s):  
Kazuki Takasaki ◽  
Hirofumi Henmi ◽  
Utako Ikeda ◽  
Yusuke Sakuhara ◽  
Toshiaki Endo
Keyword(s):  
Massive Hemorrhage ◽  
Endometrial Polyps ◽  
Tissue Removal ◽  
Removal System

Etiological structure and diagnosis of abnormal uterine bleeding

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 14-17
Author(s):  
G E Chernukha ◽  
I A Ivanov ◽  
Z N Efendieva ◽  
M R Dumanovskaya ◽  
A V Asaturova
Keyword(s):  
Diagnostic Accuracy ◽  
Endometrial Hyperplasia ◽  
Ultrasound Examination ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Histological Diagnosis ◽  
Reproductive Age ◽  
Endometrial Polyps ◽  
Chronic Endometritis ◽  
Endometrial Pathology

Abnormal uterine bleeding (AUB) is one of the most common indications for hysteroscopy. Most of the AUB cases occur due to endometrial or myometrium pathology. Among it, endometrial polyps (EP) and chronic endometritis (CE) prevalent in reproductive age, while endometrial hyperplasia (EH) and EP dominate in perimenopause. It was determined that EP and CE are characterized with menorrhagia and metrorrhagia approximately equally, whereas EH reveals AUB with oligomenorrhoea. Verification of exact endometrial pathology by ultrasound examination is hindered, that results in deviations of ultrasound and histological diagnosis. The usage of ultrasound data and AUB’s characteristics may improve the diagnostic accuracy on preadmission period.

scholarly journals Benefit of lag screw placement by a single- or two-screw nailing system in elderly patients with AO/OTA 31-A2 trochanteric fractures

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110037
Author(s):  
Fulong Zhao ◽  
Lijuan Guo ◽  
Xuefei Wang ◽  
Yakui Zhang
Keyword(s):  
Blood Loss ◽  
Elderly Patients ◽  
Fracture Healing ◽  
Healing Time ◽  
Harris Hip Score ◽  
Intraoperative Blood Loss ◽  
Trochanteric Fractures ◽  
Surgical Time ◽  
Gamma3 Nail ◽  
Intertan Nail

Objective To retrospectively analyze the clinical outcomes of two intramedullary fixation devices, the INTERTAN nail and Gamma3 nail, for treatment of AO/OTA 31-A2 trochanteric fractures in elderly patients. Methods In total, 165 elderly patients underwent treatment for AO/OTA 31-A2 trochanteric fractures in our hospital from June 2017 to June 2018 (INTERTAN group, n = 79; Gamma3 group, n = 86). All patients underwent radiological and clinical investigations and were followed up for an average of 12 months. Age, sex, fracture type, surgical time, intraoperative blood loss, fracture healing time, and complications were compared between the two groups. Results The surgical time was significantly shorter and the intraoperative blood loss volume was significantly lower in the Gamma3 than INTERTAN group (58.2 ± 2.5 vs. 81.7 ± 14.2 minutes and 170 ± 29 vs. 220 ± 16 mL, respectively). However, there were no significant differences in the reduction quality, hospital stay, fracture healing time, Harris hip score, postoperative complications, or 1-year postoperative mortality. Conclusion Both INTERTAN and Gamma3 nails may be effective for surgical treatment of AO/OTA 31-A2 trochanteric fractures in elderly patients. However, the Gamma3 nail was superior to the INTERTAN nail in terms of surgical time and intraoperative blood loss.

scholarly journals Percutaneous vertebroplasty versus kyphoplasty for the treatment of neurologically intact osteoporotic Kümmell’s disease

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shou-qian Dai ◽  
Rong-qing Qin ◽  
Xiu Shi ◽  
Hui-lin Yang
Keyword(s):  
Blood Loss ◽  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Intraoperative Blood Loss ◽  
Surgical Time ◽  
Significant Difference ◽  
Neurologically Intact ◽  
Operation Cost

Abstract Background Percutaneous vertebroplasty (PVP) and kyphoplasty (PKP) have been widely used to treat neurologically intact osteoporotic Kümmell’s disease (KD), but it is still unclear which treatment is more advantageous. Our study aimed to compare and investigate the safety and clinical efficacy of PVP and PKP in the treatment of KD. Methods The relevant data that 64 patients of neurologically intact osteoporotic KD receiving PVP (30 patients) or PKP (34 patients) were analyzed. Surgical time, operation costs, intraoperative blood loss, volume of bone cement injection, and fluoroscopy times were compared. Occurrence of cement leakage, transient fever and re-fracture were recorded. Universal indicators of visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated separately before surgery and at 1 day, 6 months, 1 year, 2 years and the final follow-up after operation. The height of anterior edge of the affected vertebra and the Cobb’s angle were assessed by imaging. Results All patients were followed up for at least 24 months. The volume of bone cement injection, intraoperative blood loss, occurrence of bone cement leakage, transient fever and re-fracture between two groups showed no significant difference. The surgical time, the operation cost and fluoroscopy times of the PKP group was significantly higher than that of the PVP group. The post-operative VAS, ODI scores, the height of the anterior edge of the injured vertebrae and kyphosis deformity were significantly improved in both groups compared with the pre-operation. The improvement of vertebral height and kyphosis deformity in PKP group was significantly better than that in the PVP group at every same time point during the follow-up periods, but the VAS and ODI scores between the two groups showed no significant difference. Conclusion PVP and PKP can both significantly alleviate the pain of patients with KD and obtain good clinical efficacy and safety. By contrast, PKP can achieve better imaging height and kyphosis correction, while PVP has the advantages of shorter operation time, less radiation volume and operation cost.

The Emerging Role of Robotic Single-site Approach for Myomectomy: A Systematic Review of the Literature

2021 ◽  
pp. 155335062098822
Author(s):  
Eirini Giovannopoulou ◽  
Anastasia Prodromidou ◽  
Nikolaos Blontzos ◽  
Christos Iavazzo
Keyword(s):  
Blood Loss ◽  
Minimally Invasive ◽  
Complication Rate ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Single Site ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Robotic Myomectomy ◽  
The Mean

Objective. To review the existing studies on single-site robotic myomectomy and test the safety and feasibility of this innovative minimally invasive technique. Data Sources. PubMed, Scopus, Google Scholar (from their inception to October 2019), as well as Clinicaltrials.gov databases up to April 2020. Methods of Study Selection. Clinical trials (prospective or retrospective) that reported the outcomes of single-site robotic myomectomy, with a sample of at least 20 patients were considered eligible for the review. Results. The present review was performed in accordance with the guidelines for Systematic Reviews and Meta-Analyses (PRISMA). Four (4) studies met the inclusion criteria, and a total of 267 patients were included with a mean age from 37.1 to 39.1 years and BMI from 21.6 to 29.4 kg/m2. The mean operative time ranged from 131.4 to 154.2 min, the mean docking time from 5.1 to 5.45 min, and the mean blood loss from 57.9 to 182.62 ml. No intraoperative complications were observed, and a conversion rate of 3.8% was reported by a sole study. The overall postoperative complication rate was estimated at 2.2%, and the mean hospital stay ranged from 0.57 to 4.7 days. No significant differences were detected when single-site robotic myomectomy was compared to the multiport technique concerning operative time, blood loss, and total complication rate. Conclusion. Our findings support the safety of single-site robotic myomectomy and its equivalency with the multiport technique on the most studied outcomes. Further studies are needed to conclude on the optimal minimally invasive technique for myomectomy.

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