A Comparative Study of Improvised Manual Vacuum Aspiration Versus Pipeline Sampling for Endometrial Sampling | [Pakistan Armed Forces Medical Journal • 2023]

Author(s):

1. Shehla Baqai: Department of Obstetrics & Gynecology, Combined Military Hospital, Lahore Medical College, Lahore/National University of Medical Sciences (NUMS),,Pakistan

2. Qudsia Nawaz: Department of Obstetrics & Gynecology, Combined Military Hospital, Lahore Medical College, Lahore/National University of Medical Sciences (NUMS),,Pakistan

3. Shazia Tufail: Department of Obstetrics & Gynecology, Combined Military Hospital, Lahore Medical College, Lahore/National University of Medical Sciences (NUMS),,Pakistan

4. Humaira Tabassum: Department of Obstetrics & Gynecology, Combined Military Hospital, Lahore Medical College, Lahore/National University of Medical Sciences (NUMS),,Pakistan

5. Samia Nasreen: Department of Obstetrics & Gynecology, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan

6. Shazia Nayyer: Department of Obstetrics & Gynecology, Combined Military Hospital, Lahore Medical College, Lahore/National University of Medical Sciences (NUMS),,Pakistan

Abstract:

Objective: To compare the safety and efficacy of Improvised S2Q manual vacuum aspiration and Pipelle sampling as a diagnostic procedure for the evaluation of women presenting with abnormal uterine bleeding. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital, Lahore Pakistan, from Oct 2021 to Aug 2022. Methodology: A total of 148 females over 35 years of age with abnormal uterine bleeding, who needed endometrial sampling, were divided into two groups of 74 participants each. Group-A underwent endometrial sampling by Improvised S2Q manual vacuum aspiration, while Group-B underwent endometrial sampling by Pipelle sampler. Results: Mean age of patients was 47.36±8.34 years in Group-A and 48.20±8.96 years in Group-B, while the mean BMI was 30.59±4.67 kg/m2 and 27.39±2.50 kg/m2 in Groups A and B, respectively. The volume of specimen obtained was found to be higher in the Improvised S2Q manual vacuum aspiration-Group as compared to the pipeline sampling-Group. The operating time in the Improvised S2Q manual vacuum aspiration-Group was 3.37±0.49 minutes, while in the pipeline sampling-Group, it was 3.20±0.55 minutes. No difference was found in the two procedures for side effects (tachycardia, pain/cramps) and complications (significant blood loss, perforation, infection), added analgesia or histopathology report. Conclusion: Improvised S2Q manual vacuum aspiration can be used as an alternative low-cost procedure for endometrial sampling in women with abnormal uterine bleeding.

Page(s): 778-782

DOI: 10.51253/pafmj.v73i3.9249

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 73, Issue: 3, Year: 2023

Keywords:

Curettage , Endometrium , Biopsy , manual vacuum aspiration , Pipeline sampling

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