{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:35:42Z","timestamp":1787841342805,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"\n Background:<\/jats:title>\n Conventionally, endometrial pathologies of varying complexity have been surgically treated as inpatients under a general or regional anesthetic.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n In this paper, we evaluate the safety and efficacy of hysteroscopic morcellation of endometrial pathology in the form of endometrial polyps (EPs) and submucosal fibroids in an outpatient setting for both simple and complex lesions using the Myosure\u2122 device.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Two hundred and forty-nine hysteroscopic resections were performed in an outpatient setting at the < BLINDED FOR REVIEW > from May 2014 to March 2021. The median age of the patients was 54 years. More than half of the patients presented with postmenopausal bleeding; 64% were diagnosed with EPs and 24% with submucous fibroids (SMFs). The size, topography, extension, penetration, and wall classification system scoring system were used to grade them as simple (\u22644) or complex (\u22655) pathologies.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n 90% of pathologies were simple (\u22644), of which complete resection was carried out in 95% of patients; 10% of the pathologies were complex (\u22655), of which 63% had complete resection. Two patients with complex pathologies returned for completion surgery as a two-step procedure. No procedure was abandoned due to the patient intolerance. The median intraprocedure pain score visual analog scale was 5\/10 and immediate postprocedure pain score was 1\/10. Notably, there was no intra- or post-procedure complications.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Outpatient resection of endometrial pathology, both simple and complex, can be safely and effectively performed using hysteroscopic morcellator (Myosure\u2122) and is accepted and well tolerated by patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmh.jmh_154_21","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T08:17:38Z","timestamp":1684311458000},"page":"133-138","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the Safety and Efficacy of Resection of Endometrial Polyps and Submucosal Fibroids in an Outpatient Setting in a Large District General Hospital in the UK"],"prefix":"10.4103","volume":"13","author":[{"given":"Nanak","family":"Bhagat","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton; Royal Preston Hospital, Fulwood, Preston, UK"},{"name":"Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton; Southport and Ormskirk Hospital NHS Trust, Ormskirk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumitra","family":"Pappala","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton; Royal Preston Hospital, Fulwood, Preston, UK"},{"name":"Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasanta","family":"Chattopadhyay","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton; Royal Preston Hospital, Fulwood, Preston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangeeta","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton; Royal Preston Hospital, Fulwood, Preston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"R1-20250920","year":"2014","journal-title":"The Royal College of Obstetricians & Gynaecologists (RCOG) National Heavy Menstrual Bleeding Audit, Final Report"},{"key":"R2-20250920","doi-asserted-by":"crossref","first-page":"h1398","DOI":"10.1136\/bmj.h1398","article-title":"Outpatient versus inpatient uterine polyp treatment for abnormal uterine bleeding: Randomised controlled non-inferiority study","volume":"350","author":"Cooper","year":"2015","journal-title":"BMJ"},{"key":"R3-20250920","first-page":"207","article-title":"Hysteroscopic tissue removal systems for the treatment of intrauterine pathology: A systematic review and meta-analysis","volume":"10","author":"Yin","year":"2018","journal-title":"Facts Views Vis Obgyn"},{"key":"R4-20250920","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1089\/gyn.2016.0008","article-title":"A prospective multicenter registry of patients undergoing hysteroscopic morcellation of uterine polyps and myomas","volume":"32","author":"Scheiber","year":"2016","journal-title":"J Gynecol Surg"},{"key":"R5-20250920","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1111\/j.1471-0528.2006.00967.x","article-title":"A randomised controlled trial comparing outpatient versus daycase endometrial polypectomy","volume":"113","author":"Marsh","year":"2006","journal-title":"BJOG"},{"key":"R6-20250920","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.jmig.2012.03.026","article-title":"A new system to classify submucous myomas: A Brazilian multicenter study","volume":"19","author":"Lasmar","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"key":"R7-20250920","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.ejogrb.2018.10.030","article-title":"Hysteroscopic tissue removal system (MyoSure) for the resection of polyps, sub-mucosal leiomyomas and retained products of conception in an out-patient setting: A single UK institution experience","volume":"231","author":"Georgiou","year":"2018","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R8-20250920","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/S1074-3804(05)60083-7","article-title":"Outpatient hysteroscopic polypectomy in 237 patients: Feasibility of a one-stop \u201csee-and-treat\u201d procedure","volume":"11","author":"Garuti","year":"2004","journal-title":"J Am Assoc Gynecol Laparosc"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_154_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:50:37Z","timestamp":1787838637000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_154_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_154_21","relation":{},"ISSN":["0976-7800","0976-7819"],"issn-type":[{"value":"0976-7800","type":"print"},{"value":"0976-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]},"assertion":[{"value":"2021-09-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}