CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS
Endometrial polyps have leading positions in the structure of intrauterine and gynecological pathology. Development of minimally invasive, effective and safe techniques of their removal is of utmost importance. The aim of the research – еvaluation of clinical effectiveness of ambulatory hysteroscop...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
The Publishing House Medicine and Enlightenment
2023-02-01
|
| Series: | Мать и дитя в Кузбассе |
| Subjects: | |
| Online Access: | https://mednauki.ru/index.php/MD/article/view/837 |
| _version_ | 1827968268115116032 |
|---|---|
| author | Олег Владимирович Сафронов Элла Алексеевна Казачкова Евгений Леонидович Казачков Ирина Владимировна Сафронова Гоар Норайровна Мшак-Манукян Татьяна Германовна Шалонина |
| author_facet | Олег Владимирович Сафронов Элла Алексеевна Казачкова Евгений Леонидович Казачков Ирина Владимировна Сафронова Гоар Норайровна Мшак-Манукян Татьяна Германовна Шалонина |
| author_sort | Олег Владимирович Сафронов |
| collection | DOAJ |
| description | Endometrial polyps have leading positions in the structure of intrauterine and gynecological pathology. Development of minimally invasive, effective and safe techniques of their removal is of utmost importance.
The aim of the research – еvaluation of clinical effectiveness of ambulatory hysteroscopic polypectomy using a small diameter hysteroscope and a diode laser in a pulsed mode.
Materials and methods. A retrospective comparative study of the outcomes of ambulatory hysteroscopic polypectomy was performed in 80 postmenopausal patients with histologically verified endometrial polyps. The 1st group comprised 48 women who underwent polypectomy using small diameter hysteroscope and pulsed diode laser. The 2nd group consisted of 32 patients who underwent surgeries using small diameter hysteroscope and semirigid bipolar angled mini electrode.
Results. The method of ambulatory hysteroscopic polypectomy using small diameter hysteroscope and pulsed diode laser allows removing endometrial polyps in the postmenopause in 100 % of the patients. The use of a small diameter hysteroscope makes it possible to perform surgery without cervical canal dilation, reduce the amount of uterus distension fluid, shorten operative time (to 19.54 ± 2.09 minutes).
Conclusion. The proposed method of polypectomy demonstrated high clinical effectiveness and safety. This method could be used to treat postmenopausal patients in ambulatory settings. |
| first_indexed | 2024-04-09T18:19:20Z |
| format | Article |
| id | doaj.art-d89dfe20c53a410aace5301d23cf4848 |
| institution | Directory Open Access Journal |
| issn | 1991-010X 2542-0968 |
| language | Russian |
| last_indexed | 2024-04-09T18:19:20Z |
| publishDate | 2023-02-01 |
| publisher | The Publishing House Medicine and Enlightenment |
| record_format | Article |
| series | Мать и дитя в Кузбассе |
| spelling | doaj.art-d89dfe20c53a410aace5301d23cf48482023-04-12T16:44:19ZrusThe Publishing House Medicine and EnlightenmentМать и дитя в Кузбассе1991-010X2542-09682023-02-012416268747CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTSОлег Владимирович Сафронов0Элла Алексеевна Казачкова1Евгений Леонидович Казачков2Ирина Владимировна Сафронова3Гоар Норайровна Мшак-Манукян4Татьяна Германовна Шалонина5ФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. Челябинскканд. техн. наук, доцент, доцент кафедры математики, медицинской информатики и статистики, физикиФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскEndometrial polyps have leading positions in the structure of intrauterine and gynecological pathology. Development of minimally invasive, effective and safe techniques of their removal is of utmost importance. The aim of the research – еvaluation of clinical effectiveness of ambulatory hysteroscopic polypectomy using a small diameter hysteroscope and a diode laser in a pulsed mode. Materials and methods. A retrospective comparative study of the outcomes of ambulatory hysteroscopic polypectomy was performed in 80 postmenopausal patients with histologically verified endometrial polyps. The 1st group comprised 48 women who underwent polypectomy using small diameter hysteroscope and pulsed diode laser. The 2nd group consisted of 32 patients who underwent surgeries using small diameter hysteroscope and semirigid bipolar angled mini electrode. Results. The method of ambulatory hysteroscopic polypectomy using small diameter hysteroscope and pulsed diode laser allows removing endometrial polyps in the postmenopause in 100 % of the patients. The use of a small diameter hysteroscope makes it possible to perform surgery without cervical canal dilation, reduce the amount of uterus distension fluid, shorten operative time (to 19.54 ± 2.09 minutes). Conclusion. The proposed method of polypectomy demonstrated high clinical effectiveness and safety. This method could be used to treat postmenopausal patients in ambulatory settings.https://mednauki.ru/index.php/MD/article/view/837эндометриальный полипгистероскопическая полипэктомиядиодный лазер |
| spellingShingle | Олег Владимирович Сафронов Элла Алексеевна Казачкова Евгений Леонидович Казачков Ирина Владимировна Сафронова Гоар Норайровна Мшак-Манукян Татьяна Германовна Шалонина CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS Мать и дитя в Кузбассе эндометриальный полип гистероскопическая полипэктомия диодный лазер |
| title | CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS |
| title_full | CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS |
| title_fullStr | CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS |
| title_full_unstemmed | CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS |
| title_short | CLINICAL EFFECTIVENESS OF AMBULATORY HYSTEROSCOPIC POLYPECTOMY USING SMALL DIAMETER HYSTEROSCOPE AND PULSED DIODE LASER IN MENOPAUSAL PATIENTS |
| title_sort | clinical effectiveness of ambulatory hysteroscopic polypectomy using small diameter hysteroscope and pulsed diode laser in menopausal patients |
| topic | эндометриальный полип гистероскопическая полипэктомия диодный лазер |
| url | https://mednauki.ru/index.php/MD/article/view/837 |
| work_keys_str_mv | AT olegvladimirovičsafronov clinicaleffectivenessofambulatoryhysteroscopicpolypectomyusingsmalldiameterhysteroscopeandpulseddiodelaserinmenopausalpatients AT éllaalekseevnakazačkova clinicaleffectivenessofambulatoryhysteroscopicpolypectomyusingsmalldiameterhysteroscopeandpulseddiodelaserinmenopausalpatients AT evgenijleonidovičkazačkov clinicaleffectivenessofambulatoryhysteroscopicpolypectomyusingsmalldiameterhysteroscopeandpulseddiodelaserinmenopausalpatients AT irinavladimirovnasafronova clinicaleffectivenessofambulatoryhysteroscopicpolypectomyusingsmalldiameterhysteroscopeandpulseddiodelaserinmenopausalpatients AT goarnorajrovnamšakmanukân clinicaleffectivenessofambulatoryhysteroscopicpolypectomyusingsmalldiameterhysteroscopeandpulseddiodelaserinmenopausalpatients AT tatʹânagermanovnašalonina clinicaleffectivenessofambulatoryhysteroscopicpolypectomyusingsmalldiameterhysteroscopeandpulseddiodelaserinmenopausalpatients |