![]() Pipelle endometrial sampling versus conventional dilatation & curettage in patients with abnormal uterine bleeding. Comparison of the histopathological diagnoses of preoperative dilatation and curettage and Pipelle biopsy. Gungorduk K, Asicioglu O, Ertas IE, Ozdemir IA, Ulker MM, Yildirim G, et al. The Vabra aspirator versus the Pipelle device for outpatient endometrial sampling. A comparison of the Pipelle device and the Vabra aspirator as measured by endometrial denudation in hysterectomy specimens: the Pipelle device samples significantly less of the endometrial surface than the Vabra aspirator. Comparison of the Z-sampler and Novak endometrial biopsy instruments for in-office diagnosis of endometrial cancer. Larson DM, Krawisz BR, Johnson KK, Broste SK. A prospective, randomized comparison of the Pipelle endometrial sampling device with the Novak curette. A significant correlation was found between age (p<0.001), endometrial thickness on ultrasound (p<0.0001) and tissue adequacy by both methods.Ĭonclusions: Endometrial biopsy obtained by hysteroscope guided method and endometrial aspiration was comparable in terms of tissue adequacy. The difference between tissue adequacy of both devices was not statistically significant (p=0.129). Out of the remaining 37 patients, in 13 (14.44%) patient’s endometrial biopsy was adequate by hysteroscope guided biopsy and in 24 (26.67%) patients it was adequate using endometrial aspiration Individually, hysteroscope guided biopsies were found to have adequate results in 48 patients out of 90 (53.33%) while endosampler aspiration provided adequate biopsy results in 59 patients out of 90 (65.56%) after excluding the number of patients having inadequate reports. On the other hand, there were 18 patients (20%) who had inadequate sampling results by both methods. Results: The endometrial biopsy samples obtained by both methods were adequate in 35 patients (38.89%). The presence of even one intact endometrial gland with stroma was labelled as adequate endometrial biopsy sample by the pathologist. Pathologist was blinded to the type of biopsy taken and samples were evaluated for tissue adequacy. Labelling of samples was done as ‘A’ and ‘B’ and sent for histopathological examination in 10% formalin. Ninety patients fulfilling the inclusion criteria were subjected to office hysteroscope guided biopsy followed by endometrial aspiration biopsy using endosampler in the same sitting. Methods: This was a cross sectional study in the Department of Obstetrics and Gynaecology and Pathology, Medical College Hospital, New Delhi, India. Department of Obstetrics and Gynecology, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, Indiaīackground: The objective of the study was to compare the tissue adequacy of endometrial biopsy obtained using hysteroscope guided biopsy and endosampler for histopathology.
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