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Clark TJ, Middleton LJ, Cooper NAM, et al. A randomised controlled trial of Outpatient versus inpatient Polyp Treatment (OPT) for abnormal uterine bleeding. Southampton (UK): NIHR Journals Library; 2015 Jul. (Health Technology Assessment, No. 19.61.)

Cover of A randomised controlled trial of Outpatient versus inpatient Polyp Treatment (OPT) for abnormal uterine bleeding

A randomised controlled trial of Outpatient versus inpatient Polyp Treatment (OPT) for abnormal uterine bleeding.

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Appendix 16Range of procedures and equipment used within the Outpatient versus inpatient Polyp Treatment Trial

Resource useOutpatient (n = 254)Inpatient (n = 253)
Anaesthesia
 Local9115
 General14201
 Regional05
 None13919
 Not specified1013
Scope manufacturer
 Olympus 5-mm rigid hysteroscope (Olympus, Southend-on-Sea, UK)1946
 Storz Bettocchi hysteroscope (Karl Storz – Endoskope, Tuttlingen, Germany)5786
 Versascope® (Gynecare, Ethicon, Somerville, NJ, USA)14244
 Wolf (Richard Wolf Medical Instruments Corporation, Vernon Hills, Chicago, IL)218
 Other45
 None/not specified3054
Scope type
 Rigid176197
 Flexible72
 Not specified7154
Resectoscope used?
 Yes736
 No208151
 Not specified3966
Speculum used?
 Yes110193
 No12631
 Not specified1829
Instrument for detaching polyp
 Forceps6848
 Snare12
 Scissors51
 Curette960
 Blind polyp/sponge forceps3255
 Electrode14084
  Versapoint spring7434
  Versapoint twizzle5620
  Monopolar loop121
  Other (bipolar loop)97
Any other instrument?
 Yes64
 No230224
 Not specified1825
Instrument to retrieve polyp
 Hysteroscope13161
 Blind forceps49111
 Curette1455
 None3715
 Not specified1629
Further treatment for bleeding?
 No170174
 Not specified2330
 Yes6149
 Mirena3243
 Progesterone70
 Tranexamic acid (Cyclokapron®, Pfizer)121
 Mefenamic acid (Ponstan, Pfizer)11
 Endometrial ablation52
 Hysterectomy11
 Other31
Time taken (minutes)
 For polypectomy (mean; SD)10.67; 8.21 (88% patients)12.1,7.78 (73.5% patients)
 In outpatient room (mean; SD)28.1; 14.62 (81.5% patients)24; 9.65 (7% patients)
 In operating theatre (mean; SD)33.78; 14.33 (7% patients)29.54; 13.43 (78% patients)
Surgeon grade
 Consultant172153
 Associate specialist3015
 Staff grade71
 Specialist registrar2863
 Other74
 Not specified917

SD, standard deviation.

Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Clark et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK305834
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