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Hysteroscopy today is considered the gold standard for the diagnosis and treatment of endometrial polyps. Several hysteroscopic systems to resect endometrial polyps are currently available. Among Others bipolar systems and microscissors or graspers, both of theme make part of routine clinical practice and are universally accepted.
The aim of the study is to compare the efficacy of bipolar resection energy polypectomy versus microscissors or graspers These procedures assume a lower cost and are associated with a lower surgical risk due to their realization without anesthesia .
Hypothesis: Resection of polyps outpatient laser diode has a similar or superior to that of the bipolar electrode tolerability. The diode laser is a viable , quick , simple technique with a high percentage of resection and high degree of satisfaction of patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bipolar electrode | Experimental | Polyps resection with bipolar electrode |
|
| Microscissors or graspers | Active Comparator | Polyps resection with microscissors or graspers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bipolar Polypectomy | Procedure | Polyps resection with bipolar electrode |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the tolerability of polypectomy using a validated visual analogue pain scale | we measure pain after resection of endometrial polyps, with 5 minutes for the patient thinks |
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| Measure | Description | Time Frame |
|---|---|---|
| Assess the recurrence of polyps after 3 months of resection (another hysteroscopy). | 3 months after resection of the polyp, repeat hysteroscopy to assess recurrence |
Inclusion Criteria:
Exclusion Criteria:
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| Mechanical Polypectomy |
| Procedure |
Polyps resection with microscissors or graspers |
|
| Bipolar electrode | Device | Bipolar electrode used to performs polypectomy |
|
| Microscissors or graspers | Device | Mechanical instruments used to performs polypectomy |
|