Endometrial Polyps
The chances of a polyp being malignant are about 4.5% for post-menopausal women suffering from heavy bleeding, while this rate drops to about 2.5% in case of no bleeding and if the polyp is a random finding. In premenopausal women, i.e. women of reproductive age, this rate is significantly lower, at about 1.5% max.
Of course it can. This was the method used for over a century. As there is no direct view inside the uterus in conventional curettage, there is always a small possibility that smaller polyps are not removed or part of a larger polyp is left inside the uterus.
In diagnostic hysteroscopy the surgeon first looks inside the uterus on a monitor via an attached HD camera, and then proceeds to the endometrial excision. Presumably, the main advantage is that in case abnormal findings such as polyps etc. are DETECTED by the surgeon, the polyp or abnormal finding is first removed under constant visual observation and then the surgeon completes the surgical procedure by cleaning out the interior of the uterus (endometrium).
In 2009, Dr. G. Hilaris and his team performed the first ever robot-assisted surgical staging in Greece, for endometrial cancer in a 39-year-old patient.
Hysteroscopy (from the Greek word “ύστερον”= uterus and endoscopy) is the detailed examination of the uterus (or endometrial cavity).
The first total laparoscopic radical hysterectomy, with complete lymph node dissection, was performed in Greece in 2004 by Dr. G. Hilaris and his team.