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  • Title: [In-office hysteroscopic polypectomy: eight years analysis].
    Author: Alanís Fuentes J.
    Journal: Ginecol Obstet Mex; 2007 Jun; 75(6):341-6. PubMed ID: 18297859.
    Abstract:
    OBJECTIVE: To evaluate endometrial polypectomy procedure results through in-office hysteroscopy. MATERIAL AND METHOD: Retrospective study based on a 641 patients sample with endometrial polyp, within 5,103 diagnostic hysteroscopies done at hysteroscopy clinic in the Hospital General Dr. Manuel Gea Gonzalez, from November 1998 to December 2005. RESULTS: Abnormal uterine bleeding cases had higher rate within premenopausic (2,951, 57.8%) than postmenopausal (347, 6.7%) patients. From 641 hysteroscopy identified endometrial polyps, 490 (76.37%) were in premenopausic and 151 (23.35%) in postmenopausal patients; 468 (73%) of them were unique, 374 (58.5%) < 1 cm in diameter, 133 (20.7%) with a diameter from 1 to 4 cm, and 134 (20.9%) > 4 cm in diameter. Diagnostic and therapeutic hysteroscopy, at the same time, was performed in all the cases (no major complications); one patient had epileptic crisis during polypectomy and another one uterine perforation, treated only with uterotonic agents. Endometrial cancer was detected in 35 cases (5.4%), 12 (34.29%) premenopausic and 23 (65.71%) postmenopausal. CONCLUSIONS: Successful systemic resection can be performed in-office in most endometrial polyps' cases, through hysteroscopic study. This technique allows high rate endometrial polyps detection within studied patients.
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