Curettage

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Hussein Warda - One of the best experts on this subject based on the ideXlab platform.

  • improved adequacy of endometrial tissue sampled from postmenopausal women using the myosure lite hysteroscopic tissue removal system versus conventional Curettage
    International Journal of Women's Health, 2017
    Co-Authors: P L Rosenblatt, Sara Barcia, A J Disciullo, Hussein Warda
    Abstract:

    Objective To compare the diagnostic suitability of endometrial tissues obtained from postmenopausal women using the MyoSure Lite tissue removal system versus conventional Curettage. Materials and methods Endometrial tissue was sampled in hysteroscopically normal extirpated uteri from seven postmenopausal women (65.9±6.6 years old) using both hysteroscopicguided morcellation and Curettage (two quadrants/uterus with each method). Endometrial sampling was performed immediately after hysterectomy for benign reasons unrelated to uterine pathology. Retrieved endometrial tissue samples were evaluated for volume and diagnostic suitability by a pathologist who was masked to the sampling technique used. Results Endometrial tissue sampling times were similar for morcellation (44±23 s) and Curettage (47±38 s). Mean tissue volume retrieved with MyoSure (1,411±775 mm3) was significantly greater than with Curettage (1±2 mm3; p=0.0004, two-tailed t-test), with larger intact tissue fragments retrieved with morcellation. Both specimen volume and quality obtained by MyoSure Lite were deemed to be significantly better for histologic assessment than the tissues obtained with Curettage (p=0.0006 by Fisher's exact test and p=0.0137 by chi-square test, respectively). With dilation and Curettage, samples were frequently too scanty for evaluation. Diagnostic concurrence between MyoSure Lite/dilation and Curettage samples and histopathology of full-thickness samples taken afterward was also significantly better with MyoSure Lite than with Curettage (p=0.0210). Conclusion Endometrial tissue sampling using the minimally invasive MyoSure Lite hysteroscopic tissue removal system may provide larger volumes of higher-quality endometrial tissue specimens for pathology assessment compared to specimens obtained using conventional Curettage, in postmenopausal women.

P L Rosenblatt - One of the best experts on this subject based on the ideXlab platform.

  • improved adequacy of endometrial tissue sampled from postmenopausal women using the myosure lite hysteroscopic tissue removal system versus conventional Curettage
    International Journal of Women's Health, 2017
    Co-Authors: P L Rosenblatt, Sara Barcia, A J Disciullo, Hussein Warda
    Abstract:

    Objective To compare the diagnostic suitability of endometrial tissues obtained from postmenopausal women using the MyoSure Lite tissue removal system versus conventional Curettage. Materials and methods Endometrial tissue was sampled in hysteroscopically normal extirpated uteri from seven postmenopausal women (65.9±6.6 years old) using both hysteroscopicguided morcellation and Curettage (two quadrants/uterus with each method). Endometrial sampling was performed immediately after hysterectomy for benign reasons unrelated to uterine pathology. Retrieved endometrial tissue samples were evaluated for volume and diagnostic suitability by a pathologist who was masked to the sampling technique used. Results Endometrial tissue sampling times were similar for morcellation (44±23 s) and Curettage (47±38 s). Mean tissue volume retrieved with MyoSure (1,411±775 mm3) was significantly greater than with Curettage (1±2 mm3; p=0.0004, two-tailed t-test), with larger intact tissue fragments retrieved with morcellation. Both specimen volume and quality obtained by MyoSure Lite were deemed to be significantly better for histologic assessment than the tissues obtained with Curettage (p=0.0006 by Fisher's exact test and p=0.0137 by chi-square test, respectively). With dilation and Curettage, samples were frequently too scanty for evaluation. Diagnostic concurrence between MyoSure Lite/dilation and Curettage samples and histopathology of full-thickness samples taken afterward was also significantly better with MyoSure Lite than with Curettage (p=0.0210). Conclusion Endometrial tissue sampling using the minimally invasive MyoSure Lite hysteroscopic tissue removal system may provide larger volumes of higher-quality endometrial tissue specimens for pathology assessment compared to specimens obtained using conventional Curettage, in postmenopausal women.

Song Jian-min - One of the best experts on this subject based on the ideXlab platform.

  • Clinical Value of Ultrasound-guided Curettage in Real-time of Uterine Cavity
    Journal of Gannan Medical University, 2015
    Co-Authors: Song Jian-min
    Abstract:

    Objective: To discuss the value of ultrasound-guided Curettage of uterine cavity. Method: 362 cases with Curettage of uterine cavity were examined with ultrasound During uterine Curettage,observe the uterus and pelvic,and the location,size,blood supply of lesions,guide the direction and depth of instruments entering the uterine cavity,guide the operation of the uterine cavity,and evaluate the effect of uterine Curettage. Result: Ultrasound-guided Curettage successful cases were 357( 98. 62%),the time used during Curettage of uterine cavity was 2 ~ 15 min,the average time was( 6. 4 ±2. 2) min,no complications. Conclusion: Ultrasound-guided Curettage operation is simple and quick,safe and reliable. It has significant value in clinical application.

Edward F. Meydrech - One of the best experts on this subject based on the ideXlab platform.

  • Immediate postpartum Curettage: accelerated recovery from severe preeclampsia.
    Obstetrics & Gynecology, 1993
    Co-Authors: Everett F. Magann, James N. Martin, John D. Isaacs, Kenneth G. Perry, Edward F. Meydrech
    Abstract:

    OBJECTIVE To investigate the ability of immediate postpartum Curettage to accelerate maternal recovery from severe preeclampsia. METHODS Thirty-two parturients with severe preeclampsia were randomly assigned to either undergo ultrasound-directed Curettage following delivery or to have no Curettage. RESULTS Subjects who underwent immediate postpartum Curettage had a significantly decreased mean arterial pressure at each 2-hour point for the first 24 hours compared with those who were not curetted (P < .0002). The mean urine output after uterine Curettage was significantly greater during each 4-hour interval of the first 24 hours postpartum compared with controls (P < .0002). The platelet count increased in the Curettage group from 12 to 24 hours following Curettage, whereas controls exhibited a decrease in the platelet count from 12 to 24 hours (P < .0003). CONCLUSION Immediate puerperal uterine Curettage of the parturient with severe preeclampsia appears to accelerate disease recovery with no apparent adverse sequelae.

  • Immediate postpartum Curettage: accelerated recovery from severe preeclampsia.
    Obstetrics and gynecology, 1993
    Co-Authors: Everett F. Magann, James N. Martin, John D. Isaacs, Kenneth G. Perry, R W Martin, Edward F. Meydrech
    Abstract:

    To investigate the ability of immediate postpartum Curettage to accelerate maternal recovery from severe preeclampsia. Thirty-two parturients with severe preeclampsia were randomly assigned to either undergo ultrasound-directed Curettage following delivery or to have no Curettage. Subjects who underwent immediate postpartum Curettage had a significantly decreased mean arterial pressure at each 2-hour point for the first 24 hours compared with those who were not curetted (P < .0002). The mean urine output after uterine Curettage was significantly greater during each 4-hour interval of the first 24 hours postpartum compared with controls (P < .0002). The platelet count increased in the Curettage group from 12 to 24 hours following Curettage, whereas controls exhibited a decrease in the platelet count from 12 to 24 hours (P < .0003). Immediate puerperal uterine Curettage of the parturient with severe preeclampsia appears to accelerate disease recovery with no apparent adverse sequelae.

A J Disciullo - One of the best experts on this subject based on the ideXlab platform.

  • improved adequacy of endometrial tissue sampled from postmenopausal women using the myosure lite hysteroscopic tissue removal system versus conventional Curettage
    International Journal of Women's Health, 2017
    Co-Authors: P L Rosenblatt, Sara Barcia, A J Disciullo, Hussein Warda
    Abstract:

    Objective To compare the diagnostic suitability of endometrial tissues obtained from postmenopausal women using the MyoSure Lite tissue removal system versus conventional Curettage. Materials and methods Endometrial tissue was sampled in hysteroscopically normal extirpated uteri from seven postmenopausal women (65.9±6.6 years old) using both hysteroscopicguided morcellation and Curettage (two quadrants/uterus with each method). Endometrial sampling was performed immediately after hysterectomy for benign reasons unrelated to uterine pathology. Retrieved endometrial tissue samples were evaluated for volume and diagnostic suitability by a pathologist who was masked to the sampling technique used. Results Endometrial tissue sampling times were similar for morcellation (44±23 s) and Curettage (47±38 s). Mean tissue volume retrieved with MyoSure (1,411±775 mm3) was significantly greater than with Curettage (1±2 mm3; p=0.0004, two-tailed t-test), with larger intact tissue fragments retrieved with morcellation. Both specimen volume and quality obtained by MyoSure Lite were deemed to be significantly better for histologic assessment than the tissues obtained with Curettage (p=0.0006 by Fisher's exact test and p=0.0137 by chi-square test, respectively). With dilation and Curettage, samples were frequently too scanty for evaluation. Diagnostic concurrence between MyoSure Lite/dilation and Curettage samples and histopathology of full-thickness samples taken afterward was also significantly better with MyoSure Lite than with Curettage (p=0.0210). Conclusion Endometrial tissue sampling using the minimally invasive MyoSure Lite hysteroscopic tissue removal system may provide larger volumes of higher-quality endometrial tissue specimens for pathology assessment compared to specimens obtained using conventional Curettage, in postmenopausal women.