Endometrial polypectomy using tissue removal device or electrosurgical snare: a randomised controlled trial

Area of Science:

• Gynecology
• Minimally Invasive Surgery

Background:

• Hysteroscopic transcervical resection is a common outpatient procedure for endometrial polyps.
• Patient comfort and complete pathology removal are key considerations.

Purpose of the Study:

• To compare the effectiveness of the electrosurgical polyp snare (DPS) against a tissue removal device (TRD).

Main Methods:

• A randomized controlled non-inferiority trial involving 66 women with symptomatic endometrial polyps.
• Patients were randomized to treatment with either DPS or TRD.
• An independent observer assessed outcomes, including complete polyp removal, acceptability, pain, operating time, and complications.

Main Results:

• Complete polyp removal was achieved in 95% of cases with TRD versus 57% with DPS.
• Operating time was significantly shorter with TRD (6.8 min) compared to DPS (11.7 min).
• TRD required fewer hysteroscope insertions (1.7 vs. 3.9) and had a lower rate of serious adverse events.

Conclusions:

• The TRD is superior to the DPS for achieving complete endometrial polyp resection.
• TRD offers improved safety and patient satisfaction, making it a preferred choice for office-based gynecological procedures.