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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2017 June;30(3):84-8
Copyright © 2016 EDIZIONI MINERVA MEDICA
The diagnostic accuracy and patient comfort of three endocervical sampling methods: a randomized, controlled trial
Meryem K. EKEN 1 ✉, Taylan SENOL 2, Dilsad HERKILOGLU 2, Ecmel Işık KAYGUSUZ 3, Enis OZKAYA 2, Sertaç SADE 2, Muhammet Atay OZTEN 2, Ates KARATEKE 2
1 Adnan Menderes University Department of Obstetric and Gynecology, Aydın, Turkey; 2 Zeynep Kamil Training and Research Hospital, Obstetric and Gynecology Department, Istanbul, Turkey; 3 Zeynep Kamil Training and Research Hospital, Pathology Department, Istanbul, Turkey
BACKROUND: To compare the effectiveness and comfort of three different techniques for endocervical sampling.
METHODS: A total of 318 women who were scheduled for endocervical sampling were randomly assigned to three groups in which different techniques were used: pipelle sampling was used in group 1 (N.=106), suction curettage was used in group 2 (N.=106), and sharp curettage was the technique in group 3 (N.=106). The groups were compared in terms of success and pain.
RESULTS: The groups were comparable in terms of age, gravidity, parity, and body mass index (P>0.05). Visual analogue scale scores (VAS) were significantly different among the groups; with the minimum scores observed in the pipelle group (P<0.05). The groups were comparable with respect to a sufficient sample obtained for diagnosis (P>0.05).
CONCLUSIONS: The pipelle instrument was found to be preferable because of the ease of use, the minimal training required and the reduction in pain during its use. The efficiency of the three techniques were determined to be similar.
KEY WORDS: Curettage - Cervix uteri - Physical examination