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Yong J, Guo X, Lan H, Yuan J, Zeng D, Zeng X, Yi S, Xiao S. Clinical analysis of the MyoSure hysteroscopic tissue removal system of endometrial polyps in women with an intact hymen. BMC WOMENS HEALTH 2021; 21:214. [PMID: 34022866 PMCID: PMC8140420 DOI: 10.1186/s12905-021-01362-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 05/11/2021] [Indexed: 11/26/2022]
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.
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Affiliation(s)
- Jiahui Yong
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Xiaohui Guo
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Hua Lan
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Jing Yuan
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Da Zeng
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Xiangyang Zeng
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Shuijing Yi
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China
| | - Songshu Xiao
- Department of Gynecology and Obstetrics, Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
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Johary J, Xue M, Xu B, Xu D, Aili A. Use of hysteroscope for vaginoscopy or hysteroscopy in adolescents for the diagnosis and therapeutic management of gynecologic disorders: a systematic review. J Pediatr Adolesc Gynecol 2015; 28:29-37. [PMID: 25555298 DOI: 10.1016/j.jpag.2014.02.014] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Revised: 02/17/2014] [Accepted: 02/20/2014] [Indexed: 02/06/2023]
Abstract
STUDY OBJECTIVE The purpose of this article is to review the published literature and perform a systematic review to evaluate the effectiveness and feasibility of the use of a hysteroscope for vaginoscopy or hysteroscopy in diagnosing and establishing therapeutic management of adolescent patients with gynecologic problems. DESIGN A systematic review. SETTING PubMed, Web of science, and Scopus searches were performed for the period up to September 2013 to identify all the eligible studies. Additional relevant articles were identified using citations within these publications. PARTICIPANTS Female adolescents aged 10 to 18 years. RESULTS A total of 19 studies were included in the systematic review. We identified 19 case reports that described the application of a hysteroscope as treatment modality for some gynecologic conditions or diseases in adolescents. No original study was found matching the age of this specific population. CONCLUSIONS A hysteroscope is a useful substitute for vaginoscopy or hysteroscopy for the exploration of the immature genital tract and may help in the diagnosis and treatment of gynecologic disorders in adolescent patients with an intact hymen, limited vaginal access, or a narrow vagina.
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Affiliation(s)
- Jolinda Johary
- Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha City, Hunan Province, China
| | - Min Xue
- Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha City, Hunan Province, China
| | - Bin Xu
- Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha City, Hunan Province, China
| | - Dabao Xu
- Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha City, Hunan Province, China.
| | - Aixingzi Aili
- Department of Gynecology, Shanghai East Hospital of Tongji University, Shanghai, China
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Noorhasan DJ, Weiss G. Perimenarchal menorrhagia: evaluation and management. J Pediatr 2010; 156:162. [PMID: 20006772 DOI: 10.1016/j.jpeds.2009.07.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2009] [Accepted: 07/09/2009] [Indexed: 10/20/2022]
Affiliation(s)
- Dorette J Noorhasan
- Division of Reproductive Endocrinology and Infertility, Department of Obstetrics, Gynecology, and Women's Health, New Jersey Medical School-UMDNJ, Newark, New Jersey, USA
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