An audit of using the H Pipelle for endometrial sampling at outpatient hysteroscopy and literature review comparison with the Pipelle de Cornier

Eur J Obstet Gynecol Reprod Biol. 2012 Dec;165(2):299-301. doi: 10.1016/j.ejogrb.2012.07.021. Epub 2012 Aug 11.

Abstract

Objective: To analyse the efficiency of the H Pipelle endometrial sampler at "no touch" (vaginoscopic) diagnostic hysteroscopy in terms of biopsy adequacy for histological diagnosis.

Study design: Retrospective descriptive study of 200 premenopausal women including comparison with previously published data on traditional biopsy instruments.

Results: Biopsy was adequate in 82% of cases overall, rising to 87% in those without submucous fibroids or polyps. Comparison with published data on other biopsy instruments shows that the H Pipelle is at least as efficient.

Conclusion: The H Pipelle appears to be at least as effective as traditional endometrial samplers even after hysteroscopy but allows hysteroscopy and biopsy to be done using a purely "no touch" (vaginoscopic) technique.

MeSH terms

  • Adult
  • Biopsy / instrumentation*
  • Biopsy / methods
  • Endometrium / pathology*
  • Female
  • Humans
  • Hysteroscopy / methods*
  • Middle Aged
  • Premenopause
  • Retrospective Studies