{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:58:00Z","timestamp":1791939480270,"version":"4.3.4"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T00:00:00Z","timestamp":1674172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Meta\u2010analyses comparing hysteroscopic electromechanical morcellation with electrosurgical resection showed a shorter operating time for electromechanical morcellation, mainly for polypectomy. The Resectr\u2122 9Fr is a new hysteroscopic manual morcellator, designed to simplify this procedure. We aimed to compare manual with electromechanical morcellation for hysteroscopic polypectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>This two\u2010center randomized controlled non\u2010inferiority trial was performed from 2018 to 2021 in the Catharina Hospital and the Ghent University Hospital. The study was registered at the Dutch Trial Register (NL6922; ICTRP ID: NTR7118). One hundred and forty women with polyps (between 8 and 20\u2009mm) scheduled for hysteroscopic removal were randomized between manual (Resectr\u2122 9Fr) or electromechanical (TruClear\u2122) morcellation. The primary outcome was time (instrumentation set\u2010up, resection, and total procedure time).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The non\u2010inferiority margin for the primary outcome time was 1.3. Mean instrumentation set\u2010up time was 10% shorter with the manual compared with the electromechanical morcellator (estimated mean ratio manual\/electromechanical\u00a0=\u00a00.9; 97.5% confidence interval [CI] 0.8\u20131.1). Mean resection time was 30% longer with the manual compared with the motor\u2010driven system (estimated mean ratio manual\/electromechanical\u00a0=\u00a01.3; 97.5% CI 0.9\u20131.9). Mean total procedure time was 10% longer with the manual compared with the electromechanical morcellator (estimated mean ratio manual\/electromechanical\u00a0=\u00a01.1; 95% CI 0.91\u20131.298). The estimated odds (electromechanical\/manual) of better surgeon's safety, effective and comfort scores were, respectively, 4.5 (95% CI 0.9\u201322.1), 7.0 (95% CI 1.5\u201331.9), and 5.9 (95% CI 1.1\u201330.3) times higher with the motor\u2010driven compared with the manual morcellator. Conversion rates and incomplete resection rates were comparable in both groups (manual vs electromechanical) (7.6% [4\/66] vs 2.9% [2\/68] and 6.1% [4\/66] vs 3.0% [2\/66], respectively). No intraoperative and postoperative complications were registered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The manual morcellator was non\u2010inferior to the electromechanical morcellator for hysteroscopic polypectomy in terms of mean instrumentation set\u2010up time and total procedure time. Results on resection time were inconclusive. Conversion and incomplete resection rates were within the range reported in the literature. Surgeon's reported rating for both devices was high, however, in favor of the motor\u2010driven tissue removal system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14493","type":"journal-article","created":{"date-parts":[[2023,1,21]],"date-time":"2023-01-21T07:38:55Z","timestamp":1674286735000},"page":"209-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Manual morcellation (Resectr\u2122 9Fr) vs electromechanical morcellation (TruClear\u2122) for hysteroscopic polypectomy: A randomized controlled non\u2010inferiority trial"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2725-7696","authenticated-orcid":false,"given":"Steffi","family":"van Wessel","sequence":"first","affiliation":[{"name":"Women's Clinic Ghent University Hospital  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tjalina","family":"Hamerlynck","sequence":"additional","affiliation":[{"name":"Women's Clinic Ghent University Hospital  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huib","family":"van Vliet","sequence":"additional","affiliation":[{"name":"Women's Clinic Ghent University Hospital  Ghent Belgium"},{"name":"Department of Obstetrics and Gynecology Catharina Hospital  EJ Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedictus","family":"Schoot","sequence":"additional","affiliation":[{"name":"Women's Clinic Ghent University Hospital  Ghent Belgium"},{"name":"Department of Obstetrics and Gynecology Catharina Hospital  EJ Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Weyers","sequence":"additional","affiliation":[{"name":"Women's Clinic Ghent University Hospital  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2004.12.011"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2008.02.002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.04.013"},{"key":"e_1_2_11_5_1","first-page":"207","article-title":"Hysteroscopic tissue removal systems for the treatment of intrauterine pathology: a systematic review and meta\u2010analysis","volume":"10","author":"Yin X","year":"2018","journal-title":"Facts Views Vis Obgyn"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-010-0627-7"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.07.006"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.12.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000187"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/GMIT.GMIT_6_17"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.03.011"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14493","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.14493","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T10:45:01Z","timestamp":1743849901000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,20]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/aogs.14493"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14493","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,20]]},"assertion":[{"value":"2022-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}