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[PMID]:28753262
[Au] Autor:Food and Drug Administration, HHS
[Ti] Título:Medical Devices; Obstetrical and Gynecological Devices; Classification of the Closed Loop Hysteroscopic Insufflator With Cutter-Coagulator. Final order.
[So] Source:Fed Regist;82(144):35071-3, 2017 Jul 28.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Food and Drug Administration (FDA, Agency, or we) is classifying the closed loop hysteroscopic insufflator with cutter-coagulator into class II (special controls). The special controls that will apply to the device are identified in this order, and will be part of the codified language for the closed loop hysteroscopic insufflator with cutter-coagulator classification. The Agency is classifying the device into class II (special controls) in order to provide a reasonable assurance of safety and effectiveness of the device.
[Mh] Termos MeSH primário: Segurança de Equipamentos/classificação
Histeroscópios/classificação
Histeroscopia/classificação
Histeroscopia/instrumentação
Insuflação/classificação
Insuflação/instrumentação
[Mh] Termos MeSH secundário: Ablação por Cateter/classificação
Ablação por Cateter/instrumentação
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170729
[St] Status:MEDLINE


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[PMID]:27834479
[Au] Autor:DE Franciscis P; Grauso F; Messalli EM; Schettino MT; Calagna G; Perino A; Colacurci N; Torella M
[Ad] Endereço:Department of Woman, Child and of General and Specialist Surgery, Second University of Naples, Naples, Italy - pasquale.defranciscis@unina2.it.
[Ti] Título:Resectoscope versus small diameter hysteroscopy for endometrial polypectomy in patients with "unfavorable" cervix.
[So] Source:Minerva Ginecol;69(3):239-244, 2017 Jun.
[Is] ISSN:1827-1650
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to compare resectoscopic and small-diameter hysteroscopic techniques for endometrial polypectomy in patients with "unfavorable" cervix. METHODS: Eighty women with a single 2-4 cm sized endometrial polyp, with unfavorable cervical anatomical conditions were enrolled in the study. Forty patients were treated with a 26F resectoscope requiring cervical dilatation (group A), forty patients were treated with a 5-mm hysteroscope requiring vaginoscopic approach (group B). Operative time, fluid absorption, complications, instrument failure, postoperative pain, overnight stay were analyzed. Operative visualization, operative difficulty and overall surgeon's satisfaction were assessed with a Visual Analogue Scale (VAS). RESULTS: Operative time was significantly longer in group A than in group B (18.3±7.4 vs. 11.3±5.2 minutes), the cumulative complication rate and the need of postoperative analgesics were higher in group A than in group B. VAS of surgical difficulty and surgeon's satisfaction were higher in group B than in group A. CONCLUSIONS: The small-diameter hysteroscopy is a safe and effective approach for endometrial polyp up to 4 cm in patients with unfavorable cervical canal at risk of cervical injury.
[Mh] Termos MeSH primário: Neoplasias do Endométrio/cirurgia
Histeroscópios
Histeroscopia/métodos
Pólipos/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Analgésicos/administração & dosagem
Colo do Útero/patologia
Neoplasias do Endométrio/patologia
Endométrio/patologia
Endométrio/cirurgia
Feminino
Seres Humanos
Histeroscopia/efeitos adversos
Histeroscopia/instrumentação
Meia-Idade
Duração da Cirurgia
Dor Pós-Operatória/epidemiologia
Pólipos/patologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Analgesics)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161112
[St] Status:MEDLINE
[do] DOI:10.23736/S0026-4784.16.03991-5


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[PMID]:27733053
[Au] Autor:Talso M; Emiliani E; Haddad M; Berthe L; Baghdadi M; Montanari E; Traxer O
[Ad] Endereço:1 Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie-Paris VI 4 rue de la Chine , Paris, France .
[Ti] Título:Laser Fiber and Flexible Ureterorenoscopy: The Safety Distance Concept.
[So] Source:J Endourol;30(12):1269-1274, 2016 Dec.
[Is] ISSN:1557-900X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The costs of flexible ureterorenoscopes (fURSs) and their repair oblige the surgeon to know the proper handling of instruments. There is a lack of evidence in the literature about the safety distance that the laser fiber should have once out from the ureterorenoscope to avoid instrumental damages. MATERIALS AND METHODS: We performed an in vitro observational study. Seven fURSs were tested. The distance from the laser fiber tip and the fURS camera was measured at the first appearance on the endoscopic screen and when the fiber was reaching one-fourth of the screen. Second, to evaluate the impact of the holmium laser bubble according to different fiber distances, an assessment of the size and shape of the bubble created at the tip of the fiber with the laser activated was done, recording the images with a high-speed camera. RESULTS: The first appearance on the screen of the laser tip is different in different ureterorenoscopes. In all the ureterorenoscopes, we observed that when the laser fiber was at » of the screen, the bubble was never touching the fURS tip. CONCLUSION: Even if there is a big limitation of this study due to the impossibility to measure and to evaluate the damage of the fURS tip surface, we observed that when the laser fiber tip reaches » of the screen, the bubble generated by laser activation is never rebounding on the camera of the ureterorenoscope, preserving it from laser damages. We can define this position as the safety distance.
[Mh] Termos MeSH primário: Histeroscópios
Litotripsia a Laser/instrumentação
Ureteroscopia/instrumentação
[Mh] Termos MeSH secundário: Desenho de Equipamento
Seres Humanos
Rim
Lasers de Estado Sólido
Litotripsia a Laser/métodos
Segurança do Paciente
Ureteroscopia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161014
[St] Status:MEDLINE


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[PMID]:27638896
[Au] Autor:Spadoto-Dias D; Bueloni-Dias FN; Elias LV; Leite NJ; Modotti WP; Lasmar RB; Dias R
[Ad] Endereço:Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University-FMB/UNESP, Botucatu, Brazil ddias.sp@fmb.unesp.br.
[Ti] Título:The value of hysteroscopic biopsy in the diagnosis of endometrial polyps.
[So] Source:Womens Health (Lond);12(4):412-9, 2016 Jul.
[Is] ISSN:1745-5065
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Several studies have demonstrated that the combination of hysteroscopy with endometrial biopsy is more accurate in differentiating endometrial polyps from endometrial hyperplasia and cancer. However, blind biopsy not always confirms hysteroscopic findings due to high rates of inadequate or insufficient material. The objective of this clinical, prospective, and comparative study was to establish a correlation between the histological results of office-based endometrial biopsies (hysteroscopically guided and blind) with the surgical polypectomy specimens. We evaluated 82 patients with hysteroscopic diagnosis of endometrial polyp, who randomly underwent hysteroscopically guided biopsy or blind biopsy, referred for surgical resection. A total of 36 women (43.9%) underwent hysteroscopically guided biopsy and 46 women (56.1%) underwent blind biopsy. The sensitivity of hysteroscopically guided biopsy for the diagnosis of endometrial polyps ranged between 35.3 and 36.8%, when carried out at the apex and base of the lesion, compared with 29.2% for blind biopsy. Specificity was 33.3, 50, and 60%, respectively, for each biopsy. The positive predictive values were 75, 77.8, and 87.5%, and negative predictive values were 8.3, 14.3, and 8.1% respectively, compared with surgical polypectomy specimens. The office-based endometrial biopsies had low diagnostic accuracy for endometrial polyps compared with surgical polypectomy specimens.
[Mh] Termos MeSH primário: Endométrio/patologia
Pólipos/patologia
Doenças Uterinas/patologia
[Mh] Termos MeSH secundário: Adulto
Biópsia por Agulha/métodos
Brasil
Hiperplasia Endometrial/patologia
Neoplasias do Endométrio/patologia
Feminino
Seres Humanos
Histeroscópios
Histeroscopia/métodos
Meia-Idade
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160918
[St] Status:MEDLINE
[do] DOI:10.1177/1745505716653695


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[PMID]:26954490
[Au] Autor:Nappi L; Sorrentino F; Angioni S; Pontis A; Greco P
[Ad] Endereço:Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy - felice.sorrentino@alice.it.
[Ti] Título:The use of laser in hysteroscopic surgery.
[So] Source:Minerva Ginecol;68(6):722-6, 2016 Dec.
[Is] ISSN:1827-1650
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:The term laser, an acronym for light amplification by stimulated emission of radiation, covers a wide range of devices. Lasers are commonly described by the emitted wavelength that covers the entire light spectrum from infrared to ultraviolet and the active lasing medium. Currently, over forty different types of lasers have found application in medicine. Moreover, advances made by gynecologists in the field of operative hysteroscopy have developed a very great interest in the use of surgical lasers. Technical improvements in hysteroscopes and lasers have led several gynecologists to evaluate their use in the surgical treatment of intrauterine pathologies. This narrative review concerns the most common used lasers in hysteroscopic surgery with particular attention to the latest promising results of the laser technology.
[Mh] Termos MeSH primário: Histeroscopia/métodos
Terapia a Laser/métodos
Lasers
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Histeroscópios
Histeroscopia/instrumentação
Terapia a Laser/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170404
[Lr] Data última revisão:
170404
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160309
[St] Status:MEDLINE


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[PMID]:26930389
[Au] Autor:Centini G; Troia L; Lazzeri L; Petraglia F; Luisi S
[Ad] Endereço:Department of Molecular and Developmental Medicine, Obstetrics and Gynecology, University of Siena, Siena, Italy - stefano.luisi@unisi.it.
[Ti] Título:Modern operative hysteroscopy.
[So] Source:Minerva Ginecol;68(2):126-32, 2016 Apr.
[Is] ISSN:1827-1650
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Hysteroscopy is an endoscopic surgical procedure that has become an important tool to evaluate intrauterine pathology. It offers a direct visualization of the entire uterine cavity and provides the possibility of performing biopsy of suspected lesions that can be missed by dilatation and curettage (D&C). In most cases, the intrauterine pathologies can be diagnosed and treated at the same setting as office hysteroscopy ("see and treat approach"). For example, endometrial polyps can be diagnosed and removed; similarly, intrauterine adhesions can be liberated in the outpatient setting without the need for an operating theatre. Today, many hysteroscopic procedures can be performed in the office or outpatient setting. This is due to the feasibility of operative hysteroscopy using saline as a distending medium, the vaginoscopic approach of hysteroscopy and the availability of mini-hysteroscopic endoscopes. There is good evidence to suggest that hysteroscopy in an ambulatory setting is preferable for the patient, and that it avoids complications, allows a quicker recovery time and lowers cost. Advances in technology have led to miniaturization of high-definition hysteroscopes without compromising optical performance, thereby making hysteroscopy a simple, safe and well-tolerated office procedure. The new surgical technology such as bipolar electrosurgery, endometrial ablation devices, hysteroscopic sterilization, and morcellators has revolutionized this surgical modality. The modern development of hysteroscopy completely transformed the approach to the uterine intracavitary pathologies moving from a blind procedure under general anesthesia to an outpatient procedure performed under direct visualization, offering therapeutic and irreplaceable possibilities of treatment that should belong to every modern gynecologist.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/métodos
Histeroscopia/métodos
Doenças Uterinas/cirurgia
[Mh] Termos MeSH secundário: Biópsia/métodos
Feminino
Seres Humanos
Histeroscópios
Histeroscopia/instrumentação
Consultórios Médicos
Pólipos/cirurgia
Aderências Teciduais/cirurgia
Doenças Uterinas/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE


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[PMID]:26928415
[Au] Autor:Calabrese S; DE Alberti D; Garuti G
[Ad] Endereço:Department of Obstetrics and Gynecology, Public Hospital of Lodi, Lodi, Italy - giancarlo.garuti@tiscali.it.
[Ti] Título:The use of bipolar technology in hysteroscopy.
[So] Source:Minerva Ginecol;68(2):133-42, 2016 Apr.
[Is] ISSN:1827-1650
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Bipolar technology was introduced in the hysteroscopic clinical use in 1999, by the design of both loop electrodes addressed to resectoscopic surgery and miniaturized electrodes adaptable to small-size hysteroscopes. The need of an electrolytic solution as distension medium and the spatial relationships between the active and return bipolar electrode avoid, by definition, the risks of severe electrolyte imbalance syndromes and unpredictable electrical burns, sometimes complicating monopolar surgery. The true revolution in the hysteroscopy care has achieved through the availability of mini-hysteroscopes not requiring cervical dilatation, thus limiting uterine wall damages and allowing surgeons to manage several endometrial pathologies by mini-invasive procedures using an effective electrosurgical bipolar instrumentation. Many surgical interventions, traditionally accomplished by the resectoscope in a surgical room theatre, can be now carried out in an outpatient setting without any support from anesthesia. The patients' avoidance of surgical room access and the quick return to daily activities lead to an obvious - but not fully demonstrated - improvement in the medical and social costs associated to outpatient operative hysteroscopy. In the field of resectoscopy, bipolar electrodes are clinically as effective as monopolar devices. Randomized trials showed that bipolar resectoscopic technology prevents the electrolyte imbalance observed after monopolar surgery. However, in daily clinical practice the assumedly safer profile of bipolar with respect to monopolar resectoscopy has not been demonstrated yet.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Ambulatórios/métodos
Histeroscópios
Histeroscopia/métodos
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos Ambulatórios/instrumentação
Eletrodos
Desenho de Equipamento
Feminino
Seres Humanos
Histeroscopia/instrumentação
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE


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[PMID]:26922877
[Au] Autor:LaMonica R; Pinto J; Luciano D; Lyapis A; Luciano A
[Ad] Endereço:Center for Fertility and Women's Health, New Britain, Connecticut. Electronic address: Rlamonica@womenshealthct.com.
[Ti] Título:Incidence of Septate Uterus in Reproductive-Aged Women With and Without Endometriosis.
[So] Source:J Minim Invasive Gynecol;23(4):610-3, 2016 May-Jun.
[Is] ISSN:1553-4669
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: To compare the incidence of a uterine septum in women with and without endometriosis and if such incidence correlates with the stage of endometriosis Although a correlation between obstructive Mullerian anomalies and endometriosis has been well established, its link with non-obstructive anomalies remains controversial. To elucidate whether there is a correlation between endometriosis and non-obstructive Mullerian anomalies, we conducted this prospective study on all patients admitted to our Reproductive Endocrinology and Infertility surgical service from February 1, 2010 through June 30, 2012. All patients underwent both hysteroscopy and laparoscopy. Surgical indications included: infertility, pain, and/or menorrhagia. The presence or absence of endometriosis and uterine anomalies were recorded immediately after each surgery and subsequently analyzed. Endometriosis was staged according to the r-ASRM Classification and treated by resection and ablation of deep and superficial lesions, respectively. Since uterine septum is the most common Mullerian anomaly, we considered only this anomaly to test the hypothesis that uterine septum may be associated with an increased incidence of endometriosis. DESIGN: Prospective Study. Evidence from a well-designed case-control study (Canadian Task Force classification II-2). SETTING: University-affiliated tertiary care center. PATIENTS: Reproductive aged women admitted to our service for treatment of pelvic pain, abnormal uterine bleeding, and/or infertility. INTERVENTION: All patients underwent both hysteroscopy and laparoscopy as part of their evaluation and treatment of pelvic pain, abnormal uterine bleeding, and/or infertility. MEASUREMENTS AND MAIN RESULTS: 343 patients were included in the study. The diagnosis of each patient included infertility - 52, pain - 215, both - 30 and other - 46. The diagnosis of septate uterus was made at hysteroscopy when the endometrial cavity was separated by an avascular septum that obscured visualization of both cornua when the hysteroscope was advanced to the mid-uterine segment. The septum was lysed sharply from cornua to cornua restoring normal fundal configuration. In all cases, the septolysis was bloodless, confirming its avascular nature. The overall incidence of uterine septum was 33% in our patient population. In patients with a histologically confirmed diagnosis of endometriosis, the incidence of septum was 37% versus 27% in patients without endometriosis (P = .046). In patients with advanced endometriosis, Stage IV disease, the incidence of septate uterus was 41% (P = .022). The odds ratio of Stage IV endometriosis with a uterine septum was 1.94 (CI 1.09-3.44). CONCLUSION: The incidence of septate uterus in our population of women with infertility and/or pelvic pain ranges from 27% to 37%, being significantly higher in women with endometriosis and mores so with Stage IV disease. Our data suggests that the presence of a uterine septum may predispose to more advanced disease.
[Mh] Termos MeSH primário: Endometriose/etiologia
Útero/anormalidades
[Mh] Termos MeSH secundário: Adulto
Canadá
Estudos de Casos e Controles
Connecticut/epidemiologia
Endometriose/epidemiologia
Endometriose/cirurgia
Feminino
Seres Humanos
Histeroscópios
Histeroscopia/efeitos adversos
Incidência
Infertilidade Feminina/epidemiologia
Infertilidade Feminina/etiologia
Laparoscopia/efeitos adversos
Dor Pélvica/etiologia
Dor Pélvica/cirurgia
Gravidez
Estudos Prospectivos
Anormalidades Urogenitais/epidemiologia
Anormalidades Urogenitais/cirurgia
Hemorragia Uterina/etiologia
Útero/cirurgia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160301
[St] Status:MEDLINE


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[PMID]:26829218
[Au] Autor:Di Spiezio Sardo A; Zizolfi B; Bettocchi S; Exacoustos C; Nocera C; Nazzaro G; da Cunha Vieira M; Nappi C
[Ad] Endereço:Unit of Obstetrics and Gynecology, University of Federico II, Naples, Italy. Electronic address: cdispie@tin.it.
[Ti] Título:Accuracy of Hysteroscopic Metroplasty With the Combination of Presurgical 3-Dimensional Ultrasonography and a Novel Graduated Intrauterine Palpator: A Randomized Controlled Trial.
[So] Source:J Minim Invasive Gynecol;23(4):557-66, 2016 May-Jun.
[Is] ISSN:1553-4669
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: STUDY  OBJECTIVE: To assess whether the use of a novel graduated intrauterine palpator can improve the accuracy of hysteroscopic metroplasty, introducing objective intraoperative criteria. DESIGN: A prospective randomized study (Canadian Task Force I, evidence obtained from a properly design, randomized, controlled trial). SETTING: University Federico II hysteroscopic clinic. PATIENTS: Ninety women with a uterine septum diagnosed during office hysteroscopy and 3-dimesional transvaginal ultrasound (3D-TVS) were randomized into 2 groups: group T (metroplasty with intrauterine palpator) (n = 45) and group C (metroplasty without intrauterine palpator) (n = 45). INTERVENTIONS: Outpatient hysteroscopic metroplasty under conscious sedation using a 5-mm hysteroscope and miniaturized 5F instruments including a bipolar electrode for the removal of three quarters of the septum, blunt scissors to refine the base of the septum, and an intrauterine palpator to measure the portion of the removed septum (only group T). 3D-TVS and second-look hysteroscopy were used to identify the number of optimal (residual septum <5 mm), suboptimal (residual septum 5-10 mm), and incomplete resections (residual septum >10 mm). In group T, metroplasty was stopped when the intrauterine palpator showed that the resected septum corresponded to presurgical ultrasonographic measurements in order to obtain a fundal notch of 1.0 cm. In group C, metroplasty was interrupted once the tubal ostia were clearly visible on the same line and/or hemorrhage from small myometrial vessels of the fundus was observed. MEASUREMENTS AND MAIN RESULTS: No differences were observed in baseline characteristics between the 2 groups. The proportion of patients with complete septum resection was significantly higher in group T (71.5% vs 41%, χ(2): p = .006; relative risk: 1.684; 95% confidence interval, 1.116-2.506). Suboptimal resection was achieved in 13 cases (28.5%) in group T and 14 cases (20%) in group C, whereas incomplete resection was observed in only 12 patients in group C (27%). CONCLUSION: Presurgical evaluation with 3D-TVS together with the use of a graduate intrauterine palpator improves the accuracy of hysteroscopic metroplasty, allowing complete removal of a uterine septum in 1 surgical step.
[Mh] Termos MeSH primário: Histeroscopia/métodos
Imagem Tridimensional/métodos
Ultrassonografia de Intervenção/métodos
Útero/diagnóstico por imagem
Útero/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Histeroscópios
Miométrio/diagnóstico por imagem
Estudos Prospectivos
Cirurgia de Second-Look/métodos
Útero/anormalidades
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160202
[St] Status:MEDLINE


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[PMID]:26721830
[Au] Autor:Favilli A; Mazzon I; Gerli S
[Ad] Endereço:Department of Obstetrics and Gynecology, University of Perugia, S. Andrea delle Fratte, 06156, Perugia, Italy.
[Ti] Título:Pain in office hysteroscopy: it is not just a matter of size. Comment on: "Paulo AA, Solheiro MH, Paulo CO. Is pain better tolerated with mini-hysteroscopy than with conventional device? A systematic review and meta-analysis: hysteroscopy scope size and pain. Arch Gynecol Obstet. 2015 May 7".
[So] Source:Arch Gynecol Obstet;293(3):687-8, 2016 Mar.
[Is] ISSN:1432-0711
[Cp] País de publicação:Germany
[La] Idioma:eng
[Mh] Termos MeSH primário: Histeroscópios
Histeroscopia/métodos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
[Pt] Tipo de publicação:COMMENT; LETTER
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160218
[Lr] Data última revisão:
160218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160102
[St] Status:MEDLINE
[do] DOI:10.1007/s00404-015-3997-2



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