Hysteroscopic Morcellation in Endometrial Lesion Patients

Phornsawan Wasinghon¹, Auttaya Ratanakaew¹, Pattamapan Sawanghirunkul²

Affiliation : ¹ Department of Obstetrics and Gynecology, Buddhachinaraj Phitsanulok Hospital, Phitsanulok, Thailand, ² Operative Nurse of Buddhachinaraj Phitsanulok Hospital, Phitsanulok, Thailand

Background: Hysteroscopy is a current diagnosis and treatment by the expertise surgeons. The hysteroscopic morcellation is not used in all hospitals compared to the electrosurgery resectoscope.
Objective: The purpose of the present study was to characterize hysteroscopic diagnosis and treatment. The second purpose is to display the innovation in tissue collection called adaptive tissue collection (Budhosp-tissue collection).
Materials and Methods: The present retrospective study was conducted on 63 patients who had hysteroscopy procedures between January 2019 and June 2021. The present research was an observational study and innovation of adaptive tissue collection (Budhosp-tissue collection).
Results: The hysteroscopy had been used to treat 63 patients. The anesthetic included 61 patients that received intravenous anesthesia, one patient had general anesthesia, and one patient had spinal block. Fifty-five of 63 hysteroscopic patients (87%) had endometrial polyps, and six patients(9.5%) had submucous leiomyoma.
Conclusion: Modern technologies are currently available for hysteroscopic morcellation. It has been recognized as a safe and effective resection. Notwithstanding, the innovation of adaptive tissue collection (Budhosp-tissue collection) appeared beneficial in rural hospital as it is less expensive and is the safest operation.

Received 14 February 2022 | Revised 1 April 2022 | Accepted 20 April 2022
DOI: 10.35755/jmedassocthai.2022.05.13303

Keywords : Abnormal uterine bleeding; Hysteroscopy; Hysteroscopic morcellator; Endometrial polyp

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