Clinical evaluation of a new hand-driven hysteroscopic tissue removal device, Resectr™ 5fr, for the resection of endometrial polyps in an office setting

Purpose A first clinical evaluation of a new hand-driven hysteroscopic tissue removal device, Resectr (TM) 5fr, for office polypectomy without any anesthesia. Methods Women with at least one small endometrial polyp were eligible. Hysteroscopic polypectomy was performed using the Resectr (TM) 5fr in an office setting, without any anesthesia. Results One hundred and two hysteroscopic polypectomies were included in the analysis. The median installation time was 1.9 min (95% confidence interval (CI) 1.6-2.1). The median time to complete polyp removal was 1.2 min (95% CI 0.8-1.6). The median surgeon's safety, practical, and comfort scores on a 5-point Likert scale were high (5 (5-5), 5 (4-5), and 5 (4-5), respectively). Women's pain score was low (median 1 (0-3)), whereas the satisfaction rate was high (median 5 (5-5)), both on a 5-point Likert scale. There were two conversions (hysteroscopic scissors (n = 1), a new Resectr(TM) 5fr device (n = 1)). There was one incomplete procedure (tissue hardness). Conclusion Hysteroscopic removal of small polyps, using the Resectr (TM) 5fr in an office setting is feasible in terms of installation and resection time. Surgeon's practical, comfort, and safety scores are high, whereas women report low pain scores and high satisfaction rates.

Jaar van publicatie:2023

Toegankelijkheid:Open