Name: Video: Innovative Non-Electrical Hysteroscopic Polypectomy Technique for Enhanced Fertility Preservation in Women
Uploaded: 2024-08-02T14:45:00
Description: 61 Views. Innovative Non-Electrical Hysteroscopic Polypectomy Technique for Enhanced Fertility Preservation in Women

innovative non-electrical hysteroscopic polypectomy technique for enhanced fertility preservation in women

Hysteroscopic Technique with Micro-Scissors and Forceps for Polyp Removal

Endometrial polyps are abnormal tissue growths in the uterine lining with significant implications for fertility and reproductive health1. The estimated incidence rate of endometrial polyps is approximately 35% among patients with infertility2, though this figure may vary. These polyps can disrupt embryo implantation by inducing structural deformities in the uterine cavity and impacting the endometrium&#39;s ability to support implantation3,4,5,6. While hysteroscopic surgery is a common procedure for removing endometrial polyps, it is not without risks, with uterine perforation being the primary complication, particularly during the removal of multiple polyps7. Hysteroscopy with resectoscopes and classic mechanical resection with scissors and/or graspers remain standard for evaluating and treating the pathology of the cervical canal and endometrial cavity8. The application of electric energy during the procedure can result in endometrial damage, especially in cases involving anatomical variations such as a unicornuate uterus9. Mechanical technology such as morcellators and scissors are less painful than electrical devices when eliminating structural lesions in the office10.
In response to these challenges, a novel approach is proposed involving the combined use of micro-scissors and forceps during hysteroscopy. This technique aims to minimize the risk of injury to the endometrium, particularly the basal layer while ensuring the complete excision of polyps to enhance fertility outcomes for women. The technique is easy to learn and requires two doctors to perform the operation. Doctors with experience in hysteroscopy are capable of executing this procedure. It is a new and unique technique that eliminates thermal damage in a very common gynecologic indication.
Overall, this innovative approach presents a safer and more precise method for eliminating endometrial polyps, particularly in women with fertility concerns, offering a valuable alternative to traditional hysteroscopic procedures and potentially enhancing outcomes for patients requiring treatment for endometrial polyps.

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps

Innovative Non-Electrical Hysteroscopic Polypectomy Technique for Enhanced Fertility Preservation in Women

innovative-non-electrical-hysteroscopic-polypectomy-technique-for

Research

JoVE Journal

Medicine

61 Views. Innovative Non-Electrical Hysteroscopic Polypectomy Technique for Enhanced Fertility Preservation in Women

Video: Innovative Non-Electrical Hysteroscopic Polypectomy Technique for Enhanced Fertility Preservation in Women

Endometrial polyps commonly contribute to female infertility, and hysteroscopic resection is the established surgical approach for their treatment. Numerous resection methods are available, with the most used and cost-effective options being cold resection employing micro-scissors or hot resection using an electric loop. However, both methods involve sharp resection, posing a challenge in achieving complete polyp removal while avoiding damage to the uterine endometrium. To address this issue, this study proposes an innovative approach: the combined use of the 6 Fr micro-scissors and forceps under hysteroscopy. The method entails utilizing 6 Fr micro-scissors to initially remove large polyps, followed by using 6 Fr micro-forceps to extract the remaining polyp tissue expeditiously and bluntly near the basal layer of the endometrium. This approach not only prevents surgical damage to the basal layer of the endometrium but also mitigates the risk of residual polyps resulting from incomplete resection. This method is particularly suitable for women with fertility requirements, offering additional considerations for the selection of treatment options for endometrial polyp resection.

The novel technique presented here employs a combination of 6-Fr micro-scissors and forceps for hysteroscopic treatment of endometrial polyps, demonstrating encouraging outcomes for infertile patients afflicted with this condition.

Endometrial polyps commonly contribute to female infertility, and hysteroscopic resection is the established surgical approach for their treatment. ...