The VABRA aspirator is a sterile, disposable, vacuum aspirator which is used to collect uterine tissue for study to detect endometrial carcinoma. The use of this device is indicated where the patient exhibits clinical symptoms or signs suggestive of endometrial disease, such as irregular or heavy vaginal bleeding.
How do you perform Pipelle sampling?
The endometrial pipelle sampling procedure First, the speculum is inserted into the vagina. Then the pipelle is inserted gently through the cervix and into the uterus. The pipelle procedure takes approximately one minute and involves gently moving the pipelle back and forth to obtain a sample.
What is a Pipelle sample?
What is an endometrial pipelle biopsy? This is the name of the procedure which takes a small sample of tissue from the lining of the womb (endometrium). This sample is then sent off to the laboratory to check if you have any cancer or other abnormal cells in the lining of your womb.
How do you take an endometrial sample?
An endometrial biopsy is usually done in your doctor’s office. It is most often done without anesthesia. You will be placed with your feet in stirrups. Your doctor will insert a speculum into the vagina to hold it open so that your cervix can be viewed (similar to a Pap test).
Is biopsy of uterus painful?
Is endometrial biopsy painful? It can be uncomfortable. The placement of the thin plastic catheter inside the uterus can produce cramping. Take four 200-mg tablets of ibuprofen (brand names: Advil, Motrin, Nuprin) with some food about an hour before coming to the office for the procedure.
How long does it take to get the results of a uterine biopsy?
Your doctor should have the results approximately 7 to 10 days after the biopsy. You may experience some light spotting or bleeding after the procedure, so you’ll be given a menstruation pad to wear.
When do you use Pipelle sampling?
Indications for pipelle biopsy:
- Failed medical treatment of menorrhagia after three months;
- Significant risk factors such as BMI over 30 and older than 35 years of age;
- Inter-menstrual bleeding for more than three months in a 12-month period;
- Endometrial cells on cervical smears, with abnormal symptoms.
How long does a Pipelle biopsy take?
They next move the pipelle back and forth to get a tissue sample from the lining of the uterus. The entire procedure typically takes about 10 minutes. The sample of tissue is put in fluid and sent to a laboratory for analysis. Your doctor should have the results approximately 7 to 10 days after the biopsy.
What is the normal endometrial thickness?
suggested upper limit of normal is <5 mm. the risk of carcinoma is ~7% if the endometrium is >5 mm and 0.07% if the endometrium is <5 mm. on hormonal replacement therapy: upper limit is 5 mm.
Is endometrial sampling painful?
It may be painful as the tube is passed through your cervix, and you may feel a cramping pain as the sample is being taken from the lining of the womb. It is exactly the same pain as a period, because the pain is caused by the same muscles of the uterus contracting.
Are endometrial biopsies painful?
An endometrial biopsy can be uncomfortable. Your doctor may recommend that you take ibuprofen (Advil, Motrin) or another pain reliever 30 to 60 minutes before the procedure. Your doctor may also give you a light sedative before the biopsy.
How long does it take for your cervix to heal after a biopsy?
During a cone biopsy, your doctor will remove a small, cone-shaped part of your cervix. They will study it under a microscope to look for abnormal cells. It usually takes about 4 to 6 weeks for your cervix to heal after this procedure.
What is a vabra aspirator?
The Vabra aspiration system is a stainless steel cannula of 4.2 mm in diameter attached to a portable electric vacuum pump. Since its invention, there have been around 30 studies confirming excellent patient acceptance and diagnostic value with the Vabra aspirator (22).
Is the vabra aspirator as effective as the Pipelle device for histological diagnosis?
Conclusion: This study proved that the Vabra aspirator was not as effective as the Pipelle device in obtaining endometrial tissue for histological diagnosis. Despite its higher price per unit, the Pipelle device was a more cost-effective tool for outpatient endometrial assessment.
Can vabra aspiration be used to evacuate the pregnant uterus?
The development of vacuum aspiration for evacuating the pregnant uterus led naturally to the use of this method as a diagnostic and therapeutic procedure in nonpregnant women [8], The use of the vabra aspiration (VA) has been reported in extensive clinical trials from Europe and many advantages have been claimed for the method [1,6-9,11-13].
What is the difference between Pipelle and vabra?
Results: A total of 147 patients were recruited, of which 71 were in the Vabra group and 76 were in the Pipelle arm. The procedure success rate in the Pipelle group was significantly higher than the Vabra arm (98.7 vs 88.7%, P = 0.02). Adequate tissue yield was also significantly more in the Pipelle arm (73.3 vs 52.4%, P = 0.02).
