A Review on the Use of Hysteroscopy Tissue Removal System in Gynaecology

Abstract

Intrauterine pathologies have become the common cause of gynaecological visits. These pathologies, if not treated can increase the rates of infertility and the risk of endometrial cancer. Surgical resection of intrauterine pathologies including polyps, fibroids, and intracavitary lesions using resectoscopes or hysteroscopy has become the mainstay of treatment, but the removal of large lesions poses a significant challenge to the surgeon. Also, the accumulation of fibroid pieces, fluid overloads, and the need for additional surgeries make these procedures more complex and tiresome. Numerous innovations in endoscopic gynaecology technology have resulted in the availability of Hysteroscopy tissue removal systems or hysteroscopy morcellators. This minimally invasive procedure has proved to be an efficient and safe alternative to conventional hysteroscopy resection. The objective of this review was to explore the clinical evidence available for the use of Hysteroscopy tissue removal systems and determine their efficacy and safety in gynaecological practice. The structure, procedural details, and characteristics of commonly used hysteroscopy tissue removal systems were thoroughly studies. Clinical performance, safety, and efficacy of these systems in comparison to other techniques were also evaluated in several uterine abnormalities. After reviewing the published literature, we concluded that the hysteroscopy tissue removal systems were more effective and safe to treat a wide range of intrauterine pathologies. The minimal fluid deficit, simultaneous cutting, and suction of tissue fragments, reduced operating time and minimum need for additional procedures with hysteroscopy tissue removal systems make it an excellent and viable option for treating a wide spectrum of uterine abnormalities in both office and operative settings. Obstetrics & Gynecology: Open Access Gururaj R. Gynecol Obstet Open Acc 5: 142. https://www.doi.org/10.29011/2577-2236.100142 https://www.gavinpublishers.com/