Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review

被引：16

作者：

Etrusco, Andrea ^{[1
,2
]}

Buzzaccarini, Giovanni ^{[3
]}

Lagana, Antonio Simone ^{[1
,2
]}

Chiantera, Vito ^{[2
,4
]}

Vitale, Salvatore Giovanni ^{[5
]}

Angioni, Stefano ^{[5
]}

D'Alterio, Maurizio Nicola ^{[5
]}

Nappi, Luigi ^{[6
]}

Sorrentino, Felice ^{[6
]}

Vitagliano, Amerigo ^{[7
]}

Difonzo, Tommaso ^{[7
]}

Riemma, Gaetano ^{[8
]}

Mereu, Liliana ^{[9
]}

Favilli, Alessandro ^{[10
]}

Peitsidis, Panagiotis ^{[11
]}

D'Amato, Antonio ^{[7
]}

机构：

[1] Paolo Giaccone Hosp, Unit Obstet & Gynecol, I-90127 Palermo, Italy

[2] Univ Palermo, Dept Hlth Promot Mother & Child Care, Internal Med & Med Specialties PROMISE, I-90127 Palermo, Italy

[3] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Dept Obstet & Gynecol, I-20132 Milan, Italy

[4] IRCCS Fdn G Pascale, Unit Gynecol Oncol, Natl Canc Inst, I-80131 Naples, Italy

[5] Univ Cagliari, Dept Surg Sci, Div Gynecol & Obstet, I-09124 Cagliari, Italy

[6] Univ Foggia, Inst Obstet & Gynecol, Dept Med & Surg Sci, I-71121 Foggia, Italy

[7] Univ Bari Aldo Moro, Dept Interdisciplinary Med DIM, Unit Obstet & Gynecol, Policlin Bari, Piazza Giulio Cesare 11, I-70124 Bari, Italy

[8] Univ Campania Luigi Vanvitelli, Dept Woman Child & Gen & Specialized Surg, I-80138 Naples, Italy

[9] Univ Catania, Dept Gen Surg & Med Surg Specialism, Unit Obstet & Gynecol, PO G Rodolico,Via Santa Sofia 78, I-95123 Catania, Italy

[10] Univ Perugia, Dept Med & Surg, Sect Obstet & Gynecol, I-06156 Perugia, Italy

[11] Helena Venizelou Hosp, Dept Obstet & Gynecol, Athens, Greece

来源：

DIAGNOSTICS | 2024年 / 14卷 / 03期

关键词：

diode laser; hysteroscopy; hysteroscopic surgery; endometrial polyps; fibroids; septate uterus; MINI-RESECTOSCOPE; SEPTATE UTERUS; SUBMUCOUS MYOMAS; POLYPECTOMY; FEASIBILITY; METROPLASTY; CLASSIFICATION; LEIOMYOMAS; DIAGNOSIS; RESECTION;

D O I：

10.3390/diagnostics14030327

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Hysteroscopy currently represents the gold standard for the diagnosis and treatment of intrauterine pathologies. Recent technological progress has enabled the integration of diagnostic and operative time, leading to the "see and treat" approach. Diode laser technology is emerging as one of the most innovative and intriguing techniques in this context. Methods: A comprehensive search of the literature was carried out on the main databases. Only original studies reporting the treatment of intrauterine pathologies using diode laser were deemed eligible for inclusion in this systematic review (PROSPERO ID: CRD42023485452). Results: Eight studies were included in the qualitative analysis for a total of 474 patients undergoing laser hysteroscopic surgery. Eighty-three patients had female genital tract abnormalities, 63 had submucosal leiomyomas, 327 had endometrial polyps, and one patient had a scar pregnancy. Except for leiomyomas, whose technique already included two surgical times at the beginning, only seven patients required a second surgical step. Cumulative rates of intraoperative and postoperative complications of 2.7% and 0.6%, respectively, were reported. Conclusions: Diode laser through "see and treat" hysteroscopy appears to be a safe and effective method. However, additional studies with larger sample sizes and improved designs are needed to consolidate the evidence currently available in the literature.

引用

页数：18

共 89 条

[71] Endometrial polyps affect uterine receptivity [J].