Pipelle versus MVA cannula for endometrial biopsy: a comparative study

Authors

  • Aakriti Garg Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India http://orcid.org/0000-0003-4599-5286
  • Shobha Mukherjee Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220912

Keywords:

MVA cannula, Pipelle, Endometrial biopsy, Office procedures

Abstract

Background: Endometrial biopsy procedure is a prerequisite for evaluation of abnormal uterine bleeding, also performed to exclude the presence of endometrial carcinoma or in cases of infertility.

Methods: A study was conducted at Rohilkhand Medical College and Hospital, Bareilly among 350 subjects to assess the efficacy and problems associated with endometrial biopsy technique by MVA cannula method and pipelle method of biopsy.

Results: Mean age recorded was 45.14±10.11, mean parity was 3.18±1.8, mean endometrial thickness was 6.9±3.28 and mean BMI was 24.3±2.12. In our study, duration of MVA endometrial biopsy was (3.1±0.62min) and with Pipelle method was (3.01±0.77 min). Endometrial biopsy is a compulsory requirement for evaluation of endometrial causes of abnormal uterine bleeding especially malignancy, hence, it is a very frequently done procedure.

Conclusions: This study concluded that manual vaccum aspiration using cannula No.4, an unconventional technique was comparable to Pipelle technique with comparable efficacy and results.

Author Biographies

Aakriti Garg, Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

Junior resident- 2, obstetrics and gynaecology department

Shobha Mukherjee, Department of Obstetrics and Gynaecology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

Professor, obstetrics and gynaecology department

References

Zuber TJ. Endometrial biopsy. American family physician. 2001;63(6):1131.

Seamark CJ. The demise of the D&C. Journal of the Royal Society of Medicine. 1998;91(2):76-9.

Tansathit T, Chichareon S, Tocharoenvanich S, Dechsukhum C. Diagnostic evaluation of MVA endometrial aspiration in patients with abnormal uterine bleeding. Journal of Obstetrics and Gynaecology Research. 2005;31(5):480-5.

Singh M, Sachan R, Yadav A. Significance of endometrial thickness on transvaginal sonography in heavy menstrual bleeding. J Curr Res Sci Med. 2019;5:28-32.

Nama A, Kochar S, Suthar N, Kumar A, Solanki K. Accuracy of MVA endometrial aspiration in comparison to conventional D and C in women with AUB at tertiary care hospital in North West Rajasthan. Journal of Family Medicine and Primary Care. 2020;9(7):3496.

Sanam M, Majid MM. Comparison the Diagnostic Value of Dilatation and Curettage Versus Endometrial Biopsy by Pipelle-a Clinical Trial. Asian Pac J Cancer Prev. 2015;16:4971-5.

Abdelazim IA, Aboelezz A, Abdulkareem AF. Pipelle endometrial sampling versus conventional dilatation and curettage in patients with abnormal uterine bleeding. J Turk Ger GynecolAssoc. 2013;14:1-5.

Kenchappa S, Gandhi N, Shukla A, Rathore A. Diagnostic efficacy endometrial aspiration cytology in gynecological pathology. Ind JPathoOnco. 2017;4:517-22.

Kaur N, Chahal JS, Bandlish U, Kaul R, Mardi K, Kaur H. Correlation between cytological and histopathological examination of the endometrium in abnormal uterine bleeding. J Cytol. 2014;31:144-8.

Zutshi V, Gupta M, Kaur P, Malik A, Zaheer S, Gambhir P. Office endometrial sampling: Acomparison between Endosampler and MVA cannula number 4. Int J Reprod Contracept Obstet Gynecol. 2018;7:3965-8.

Rauf R, Shaheen A, Sadia S, Waqar F, Zafar S, Sultana S, et al. Outpatient endometrial biopsy with Pipelle versus diagnostic dilatation and curettage. J Ayub Med Coll Abbottabad. 2014;26(2):145-8.

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Published

2022-03-25

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Original Research Articles