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Related Experiment Video

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Hysteroscopic Tissue Removal Systems: A Randomized In Vitro Comparison.

Deidre Meulenbroeks1, Tjalina W O Hamerlynck2, Sema Saglam-Kara1

  • 1Department of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, The Netherlands.

Journal of Minimally Invasive Gynecology
|September 7, 2016
PubMed
Summary

The TRUCLEAR system

Keywords:
Hysteroscopic morcellationHysteroscopyMyomaPolyp

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Area of Science:

  • Gynecologic surgery
  • Minimally invasive procedures
  • Hysteroscopy

Background:

  • Hysteroscopic tissue removal systems are crucial for treating intrauterine pathologies.
  • Comparing the efficiency of different hysteroscopic tissue removal systems is essential for optimizing surgical outcomes.
  • In vitro studies provide a controlled environment to evaluate device performance.

Purpose of the Study:

  • To compare the polyp resection time and myoma resection rate of two hysteroscopic tissue removal systems: TRUCLEAR and MyoSure.
  • To evaluate the performance of specific devices within each system under various conditions.

Main Methods:

  • Prospective randomized in vitro trial using polyp surrogates (umbilical cord) and myoma tissue.
  • Comparison of TRUCLEAR INCISOR 2.9 (TI), TRUCLEAR INCISOR Plus (TIP), TRUCLEAR ULTRA Plus (TUP) devices against MyoSure Lite (ML), MyoSure Classic (MC), and MyoSure XL (MXL) devices.
  • Assessment of resection time for polyps and resection rate for myoma tissue, with analysis of device performance over consecutive uses and varying myoma volumes.

Main Results:

  • For polyp removal, TIP, MC, and ML were significantly faster than TI for single polyp removal. TIP remained faster than TI for consecutive polyp removal.
  • ML performance decreased significantly during consecutive use, while TIP maintained efficiency.
  • For myoma removal, the TUP system demonstrated a significantly higher resection rate than the MXL system.
  • The MXL system's resection rate decreased with increasing myoma volume, unlike the TUP system.

Conclusions:

  • In vitro testing indicates significant differences in hysteroscopic tissue removal efficiency between TRUCLEAR and MyoSure systems.
  • The TRUCLEAR system's TIP device showed consistent speed for polyp removal, while the TUP device offered a higher myoma resection rate.
  • Device performance can be affected by factors like consecutive use and tissue volume, highlighting the importance of in vitro evaluation for selecting appropriate hysteroscopic tissue removal systems.