This study aimed to the feasibility of polypectomy without anesthesia using a 15 Ch. resectoscope in women with uterine polyps.
Endometrial polyps are frequent gynecological pathologies leading to metrorrhagia, infertility, miscarriages and the risk of transformation into malignant pathology. The discovery of an endometrial polyp requires its removal. The treatment of endometrial polyps is conventionally carried out by hysteroscopic resection under general anesthesia with a bipolar resector of 22 Charrières (Ch) or more after dilation of the uterine cervix in the operating room. Following the recent appearance of a 15 Ch. bipolar mini-resectoscope, it seems that uterine dilation and anesthesia could be avoided by reducing the caliber of the instrument.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
13
Premedication: paracetamol 1g oral. Patient will undergo polypectomy without anesthesia. During the procedure, pain will be monitored using a pain assessment scale from 0 to 10 (0 meaning no pain and 10 meaning maximum pain imaginable). At any time, if the patient express a pain strictly superior to 4 an analgo-sedation will be proposed and/or general anesthesia. Pulse and blood pressure will be monitored. Assessment of patient satisfaction after the intervention.
Hopital Foch
Suresnes, Île-de-France Region, France
Feasibility of polypectomy, with a mini-resectoscope of 15 bipolar careers, without general anesthesia or analgo-sedation
Use or not of general anesthesia or analgo-sedation during the surgery
Time frame: 1 day (surgery)
Pain assessment during and after surgery
Pain assessment on a scale from 0 to 10; before surgery, during surgery (during the introduction of the hysteroscope into the uterine cavity, during the possible placement of a speculum and during the removal of the polyp at the handle) then 15 minutes, 1 hour and 2 hours post-operative
Time frame: 1 day (surgery)
Capacity and clinical condition of the patient allowing her discharge
Capacity and clinical condition of the patient allowing her discharge 15 minutes, 1 hour and 2 hours after surgery
Time frame: 1 day (surgery)
Patient satisfaction
Patient satisfaction on a scale from 1 to 5 (1 meaning not satisfied at all and 5 very satisfied)
Time frame: 4 months
Post operative diagnostic hysteroscopy result
Control diagnostic hysteroscopy: success if absence of visible intra-cavitary projection at the base of the excised polyp(s)
Time frame: 4 months
Identification of factors influencing the success of the main criterion
Correlations between preoperative data and main evaluation criterion (patient with or without analgo-sedation and or general anesthesia)
Time frame: 4 months
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