Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/86327
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Type: Journal article
Title: Current practice in the removal of benign endometrial polyps: a Dutch survey
Author: van Dijk, L.
Breijer, M.
Veersema, S.
Mol, B.
Timmermans, A.
Citation: Gynecological Surgery, 2012; 9(2):163-168
Publisher: Springer-Verlag
Issue Date: 2012
ISSN: 1613-2076
1613-2084
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Responsibility: 
Lotte J. E. W. van Dijk, Maria C. Breijer, Sebastiaan Veersema, Ben W. J. Mol, Anne Timmermans
Abstract: The purpose of this study is to evaluate the current practice of Dutch gynecologists in the removal of benign endometrial polyps and compare these results with the results of a previous study from 2003. In 2009 Dutch gynecologists were surveyed by a mailed questionnaire about polypectomy. Gynecologists answered questions about their individual performance of polypectomy: setting, form of anesthesia, method, and instrument use. The results were compared with the results from the previous survey. The response rate was 70% (585 of 837 gynecologists). Among the respondents, 455 (78%) stated to remove endometrial polyps themselves. Polyps were mostly removed in an inpatient setting (337; 74%) under general or regional anesthesia (247; 54%) and under direct hysteroscopic vision (411; 91%). Gynecologists working in a teaching hospital removed polyps more often in an outpatient setting compared with gynecologists working in a nonteaching hospital [118 (43%) vs. 35 (19%) p < 0.001]. These results are in accordance with the results from 2003. Compared to 2003 there was an increase in the number of gynecologists performing polypectomies with local or no anesthesia [211 (46%) vs. 98 (22%), p < 0.001]. An increase was also noted in the number of gynecologists using direct hysteroscopic vision [411 (91%) vs. 290 (64%), p < 0.001] and 5 Fr electrosurgical instruments [181 (44%) vs. 56 (19%), p < 0.001]. Compared to the situation in 2003, there is an increase in removal under direct hysteroscopic vision, with 5 Fr electrosurgical instruments, using local or no anesthesia. This implies there is progress in outpatient hysteroscopic polypectomy in the Netherlands.
Keywords: Polypectomy; Hysteroscopy; Inpatient; Outpatient
Rights: © The Author(s) 2011
RMID: 0020136729
DOI: 10.1007/s10397-011-0707-3
Appears in Collections:Obstetrics and Gynaecology publications

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