Official publication of Rawalpindi Medical University
Effectiveness of Pipelle as Endometrial Sampling Procedure in Comparison with Dilatation and Curettage
PDF

How to Cite

1.
Tahira Rasheed, Lubna Yasmeen. Effectiveness of Pipelle as Endometrial Sampling Procedure in Comparison with Dilatation and Curettage. JRMC [Internet]. 2012 Dec. 30 [cited 2024 Mar. 29];16(2). Available from: https://journalrmc.com/index.php/JRMC/article/view/576

Abstract

Background: To determine safety and effectiveness of
pipelle for taking endometrial biopsy as out patient
procedure in comparison with dilatation and curettage
(D&C).
Methods: In this comparative study, detailed clinical
evaluation of 80 patients was done to establish indication
for endometrial sampling. Subjects were divided into 2
groups.In 1st group pipelle (n=40)procedure was
performed as outpatient procedure without analgesia
under aseptic conditions.Biopsies were taken and sent for
histopathology and for acid fast bacilli in cases of
infertility .Subjects were retained for 30 min to observe for
any complication. In 2nd group (n=40) patients were
admitted from out patient department and D&C done on
very next day in operation theatre as formal procedure
under anaesthesia .Patients were retained in ward after
procedure to observe any post operative complications for
one day. Samples were sent for histopathology . Chi
Square test was used for statistical analysis.
Results: There was no case of perforation in both
groups.In first group of Pipelle 36 cases had no
pain.When compared to second group statistical
significance was .000. Mild bleeding was observed in 2
cases of pipelle as compared to 4 cases of 2nd group.
Sample was adequate in 37 cases of pipelle while in 39
cases of D&C .Histopathology report when compared in 2
groups showed statistical significant difference was 0. 05.
Conclusion: Endometrial Biopsy with Pipelle is safe,
efficient and cost effective means of evaluating uterine
endometrium It is associated with minimal discomfort,
adequate sampling without need of anaesthesia.

PDF