Open AccessPipelle Endometrial Sampling Versus Conventional Dilatation & Curettage in Patients With Abnormal Uterine Bleeding
Author(s) -
Muntiha Sarosh,
Faiza Ghafoor,
Shumaila Shakoor
Publication year - 2022
Publication title -
pakistan journal of medical and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 7
ISSN - 1996-7195
DOI - 10.53350/pjmhs2216217
Subject(s) - curettage , medicine , endometrial biopsy , histopathology , endometritis , endometrial hyperplasia , biopsy , uterine bleeding , sampling (signal processing) , endometrial polyp , gynecology , endometrium , radiology , hysteroscopy , obstetrics , pathology , biology , pregnancy , genetics , filter (signal processing) , computer science , computer vision
Aim: To assess the efficacy of endometrial sampling using Pipelle compared with Conventional dilatation & curettage in women with bleeding from the uterus that is heavier/longer than usual or that occurs at an irregular time. Place and duration of study: Department of Obs & Gynae, Aviceena Medical College/Hospital from June 2020 to June 2021. Methodology: This comparative study was carried out in 57 women with abnormal uterine bleeding. Endometrial sampling was done by Pipelle without cervical dilatation followed by dilatation & curettage. Histopathology results were compared. Histopathological evaluation of the samples obtained by Dilatation & curettage was considered gold standard. Results: All endometrial tissue samples (100%) collected by dilatation & curettage while 98% obtained by the Pipelle sampler were acceptable for histopathology. Histopathological investigation of 57 samples acquired through dilatation & curettage confirmed proliferative and Secretory changes, Endometrial Hyperplasia, Endometritis in 15,13, 19, and 4 subjects while Endometrial Polyps and Malignant change in 2 and 4 specimens respectively. Conclusion: Pipelle endometrial sampling is an efficient outpatient procedure thus avoiding hazards of general anesthesia with a great precision for evaluating benign and malignant endometrial pathology. Keywords: Abnormal Uterine Bleeding , Endometrial biopsy, Dilatation & curettage, Pipelle sampler