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Hysteroscopic Curettage Using the Lin Snare and Y Adaptor: A Review of 300 Cases
1Department of Obstetrics and Gynecology, KK Women's and Children's Hospital, Singapore.
Study:
To present a de novo technique of endometrial sampling - hysteroscopic curettage.
Objective:
Aim to describe this new procedure and study its effectiveness and accuracy.
Design:
Prospective study (Canadian Task Force Classification II-2).
Setting:
University-affiliated public hospital.
Patients:
Two hundred and ninety-three consecutive patients who attended outpatient gynaecological endoscopic centre.
Intervention:
A total of 300 hysteroscopic curettage was carried out using flexible hysteroscope and Lin snare system.
Main Results:
The procedure failure rate is 2.67%. Out of 292 successful hysteroscopic curettages, hysteroscopy alone has a sensitivity of 99% and negative predictive value of 97.7%. The accuracy was further improved to near perfection with curettage histology. The negative predictive value is 99%.
Conclusion:
Hysteroscopic curettage is easy to perform, highly effective and accurate. It offers an excellent outpatient alternative for patients who require endometrial sampling and/or an evaluation of abnormal uterine bleeding.
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