Endometrial sample sent to histopathology for assessment. Insert the pipelle or explora curette, withdraw the stylette to achieve a slight vacuum. Original article diagnostic value of endometrial sampling. In the section which sampling technique to use in your research, it has been tried to describe what techniques are most suitable for the various sorts of researches. Comparison of efficacy of pipelle biopsy with dilatation. Pipelle device, which is widely regarded as the most popular method for sampling the endometrial lining. Raj, p4 all these four steps are interwoven and cannot be considered isolated from one another. Pipelle sampling and mirena insertion jenny westgate rotorua, june 2009.
Feb 12, 2019 office sampling versus dilation and curettage endometrial sampling offers a number of advantages compared with dilation and curettage. Pharmaquest c this method maintains the procedure of the finding evaluate the reliability of the sample. A large metaanalysis comparing various devices reported pipelle to be the most sensitive technique. Appendix iii is presenting a brief summary of various types of nonprobability sampling technique.
The procedure takes less than a minute to perform and produces little if any postprocedure bleeding or patient discomfort. Efficiency of pipelle device in sampling endometrium. Pipelle endometrial sampling can also be combined with hysteroscopy. This technique can be used only for some specific purposes. Splp is a technique used to determine the mobility of chemicals in liquids, soils and wastes, and may be useful in determining the need for addressing pfascontaining material as part of the remedy. After taking the biopsy the speculum will then be removed.
Endometrial sampling is an office technique that has gained widespread acceptance in the united states us. Multistage sampling this sample is more comprehensive and representative of the population. Population divided into different groups from which we sample randomly. Endometrial sampling performed by gynecological residents in. Every member of the population is equally likely to be selected.
To compare diagnostic accuracy and adequacy of pipelle endometrial biopsy with dilatation and curettage. So the pipelle sample being a simple technique can be used as a screening procedure for obtaining endometrial sample in the patients with abnormal uterine bleeding. The aim of this research was to evaluate preoperative endometrial sampling methods according to histological findings and grading in endometrial cancer. Pipelle biopsy is ideal for obtaining endometrial sample in outpatient department.
Completely selfcontained, the pipelle requires no additional equipment to complete the procedure. Endometrial biopsy is the removal of a sample of endometrial tissue for. The object of sampling is thus to secure a sample which will represent the population and reproduce the important characteristics of the. This has been the traditional technique for obtaining samples of endometrium for pathological examination. Multistage sampling technique is also referred to as cluster sampling, it involves the use of samples that are to some extent of clustered. Endometrial sampling using the pipelle device is widely used in the uk especially in the investigation of postmenopausal bleeding. Study of the efficacy of pipelle biopsy technique to. Global discrepancies between preoperative and postoperative analysis was 20. This is the name of the procedure which takes a small sample of tissue from the lining of the womb endometrium. Simple random sampling in an ordered systematic way, e. The words that are used as synonyms to one another are mentioned. Disadvantages a this technique of sampling cannot be used for a large sample.
Pipelles intuitive design provides consistency of sample collection every time. The accuracy of endometrial pipelle sampling with and. Endometrial pipelle sampling, also known as endometrial biopsy, scratching, or injury, is a common procedure often performed in women with abnormal uterine bleeding. Operative setting is an outpatient clinic, rather than an operating room. Meanwhile, the pipelle is rotated and moved outwards from the fundus to the internal os to collect small pieces of endometrial tissue. Both the pipelle and tao brush sampling procedures were successfully completed in 164 of 200 postmenopausal high. It samples only 4% of the endometrial surface and has sensitivity up to 97%. However, the use of the method is not adequately explained in most studies. The use of this technique is believed to reduce the cost of the diagnostic work. Endometrial sampling is widely used for accurate diagnosis of endometrial cancer ec, which is the most common gynecologic cancer in us women. Nonprobability sampling technique was used to divide patients into two groups with 50 patients in each group. The endometrium is sampled when pathology, particularly endometrial cancer, is suspected.
Study of the efficacy of pipelle biopsy technique to diagnose endometrial diseases in abnormal uterine bleeding c raja ilavarasi 1, gs jyothi 1, nanda kishore alva 2 1 department of obstetrics and gynaecology, ramaiah medical college and hospitals, bengaluru, karnataka, india 2 department of pathology, ramaiah medical college and hospitals, bengaluru, karnataka, india. The performance of pipelle endometrial sampling in a. The nurse will then help you to get off the examination couch and will help you to get. Many studies compare sample adequacy between pipelle and other methods but only a small number of studies compare it with hysterectomy histology results. The surface of distal extremity of the pipelle fig. Deposit sample into appropriate pathology sample jar.
Recently, the trutest has been introduced as an alternative method. More recently, hysteroscopy and vaginal ultrasonography have completed the diagnostic arsenal for the detection of endometrial disease. Validity of pipelle endometrial sampling in patients with abnormal. Available in standard or mini sizes, both samplers feature a narrow profile with a sharp edge for effective tissue collection. Selectcells endometrial samplers offer proven clinical performance and reliability. The principle advantage of this sampling technique is that it permits the available resources to be concentrated on a limited number of units of the frame, but in this sampling technique the. In cases where insertion of pipelle is not possible, anterior lip of the cervix was steadied with volsellum forceps. Pipelle endometrial suction curette endometrial sampler. Which is the best technique for endometrial sampling. Pipelle aspirator is an easy, inexpensive, minimally invasive and useful outpatient procedure for diagnosis in patients with abnormal uterine. In the following decades, other outpatient endometrial sampling devices became.
A manual for selecting sampling techniques in research. Thoroughly sample the endometrium with the curette. Sampling techniques in this lecture, our focus only on sampling to really understand and mastery various techniques of sampling impossible to be achieved in just a lecture or in one semester course it is through a lifetime practice as a scientist but it is possible if just only one sampling technique. The pipelle endometrial sampling device is the most popular method for sampling endometrial lining. Factors affecting adequacy of pipelle and tao brush endometrial sampling arw williams,a s brechin,b ajl porter,c p warner,c hod critchleyd a department of pathology, university of edinburgh medical school, royal in. Endometrial sampling techniques in the diagnosis of. Endometrial sampling performed by gynecological residents. Study of the efficacy of pipelle biopsy technique to diagnose. It should be reserved for those patients in whom there is only a minimal risk for endometrial carcinoma, hyperplasia and polyps.
Pdf on jan 1, 2015, ayse nur aksoy and others published endometrial sampling methods. It can be inserted in pipelle sampler and in case of getting inadequate the cervical canal without dilatation. Pdf on jan 1, 2015, ayse nur aksoy and others published. Sampling methods and research designs chapter 4 topic slide types of research 2 lurking and confounding variables 8 what are subjects. Discussion any many authors concluded that the pipelle is an accurate and acceptable outpatient sampling technique when. Equipment and techniques for officebased endometrial sampling has generally replaced the need for diagnostic dilation and curettage performed in the hospital. Recently, the trutest has been introduced as an alternative method of endometrial biopsy. Pipelles insightful design and exacting manufacture provide you with safe, simple, effective and costef. This study was aimed at evaluating the clinical benefit and.
The costeffectiveness analysis result was not signi. Factors affecting adequacy of pipelle and tao brush. Sampling gordon lynchi introduction one of the aspects of research design often overlooked by researchers doing fieldwork in the study of religion is the issue of sampling. Purposive sampling as a tool for informant selection. Erickson, md endometrial sampling is a rapid, safe, and inexpensive procedure for evalution of women with infertility or abnormal uterine bleeding. About endometrial pipelle sampling the university of. Fill out pathology requisition with appropriate information. Equipment and techniques for officebased endometrial sampling has.
If the population is homogeneous with respect to the characteristic under study, then the method of simple random sampling. Endometrial sampling techniques in the diagnosis of abnormal. Sampling techniques basic concepts of sampling essentially, sampling consists of obtaining information from only a part of a large group or population so as to infer about the whole population. Sampling problems may differ in different parts of the population. In conclusion, the pipelle device is superior to other techniques in endometrial sampling, especially in postmenopausal women, for the detection of endometrial carcinoma and atypical. Sampling techniques introduction to sampling distinguishing between a sample and a population simple random sampling step 1. Diagnostic value of pipelle endometrial sampling in.
Pipelle endometrial sampling versus conventional dilatation. The role of pipelle mark ii sampling in endometrial disease. Nonprobability sampling is a sampling procedure that will not bid a basis for any opinion of probability that elements in the universe will have a chance to be included in the study sample. It is useful when the researcher know little about a group or organisation. Information and advice for patients ynaecology endometrial pipelle biopsy might be used to hold onto your cervix enabling it to be held in a better position to make it easier to take the biopsy. Endometrial biopsy is an office procedure that serves as a helpful tool in diagnos. Utilizing a simple technique with proven clinical performance and reliability. So one may easily decide which particular technique is applicable and most suitable of his or her research project. The purposive sampling technique, also called judgment sampling. Factors affecting adequacy of pipelle and tao brush endometrial sampling arw williams,a s brechin,b ajl porter,c p warner,c hod critchleyd a department of pathology, university of edinburgh medical. Endometrial sampling became the first choice in screening and evaluating women with bleeding or as screening methods for endometrial pathology. Pipelle s intuitive design provides consistency of sample collection every time. Endometrial sampling the endometrium is sampled when pathology is suspected.
It has gained widespread acceptance in gynecological practice. The sensitivity and specificity in identifying cancer among satisfactory specimens is 100% and 96%, respectively, when atypical hyperplasia or a more severe diagnosis is made by the tao brush. A smaller tube internal piston inside the pipelle is withdrawn to create suction. We are going to see from diverse method of five different sampling considering the nonrandom designs. Purposive sampling is an informant selection tool widely used in ethnobotany table 1. The pip study is designed to test whether this common procedure can also be used to help increase pregnancy rates in subfertile women or couples. Endometrial sampling was performed in all patients with two methods namely pipelle. It is relatively commonplace for books and articles in the field particularly written from a humanities perspective to present their empirical data as being of self. Increase the protection and accuracy of endometrial samples.
Endometrial biopsy is useful in the workup of abnormal uterine bleed. Cooper j m, erickson m l, endometrial sampling techniques in the diagnosis of abnormal uterine bleeding, june 2000 demirkiran f et al, which is the best technique for endometrial sampling. Purposive sampling in this technique, sampling units are selected according to the purpose. To evaluate the accuracy of pipelle endometrial sampling with and without sonographic measurement of endometrial thickness.
Costeffectiveness analysis of biopsy strategies for. The study concluded that the pipelle device is a limited endometrial sampling technique for obtaining an adequate and representative endometrial sample. Indications for pipelle sampling any abnormal bleeding 40y abnormal bleeding pipelle etc make. About endometrial pipelle sampling the university of auckland. To study the consumption pattern of households, the people living in houses, hotels, hospitals, prison etc. In cases where insertion of pipelle is not possible, anterior lip of the. Samples were labeled as a and b, respectively, and sent to a histopathologist who was blinded as to the method of sampling. Endometrial pipelle biopsy sandwell and west birmingham. Guidelines for sampling and analysis of pfas january 2020. The contoured finger grip, easytoread graduation marks and piston suction allow for smooth and efficient sampling. The the same device thus obtained excellent samples. This study was quasiexperimental on 200 pre and postmenopausal patients with abnormal uterine bleeding who refered to shabihkhani hospital in kashan, iran. Contacting members of the sample stratified random sampling convenience sampling quota sampling.
In 1935, novak developed the first outpatient sampling curette, obviating the need for general anaesthesia. The endometrial sampling using pipelle is a safe, accurate, cost effective outpatient procedure, which avoids general anesthesia and has a high sensitivity and specificity for detection of. Endometrial biopsy is one of the most useful methods for abnormal uterine bleeding assessment while pipelle biopsy as the office sampling is a new method in this concept 10, 11. Introduction to sampling distinguishing between a sample and a population simple random sampling step 1. Discussion any many authors concluded that the pipelle is an accurate and acceptable outpatient sampling technique.
This case illustrates the importance of pipelle endometrial sampling in the di. Sonographic measurement of the endometrium and endometrial biopsy with the pipelle. Purposive sampling provides biased estimate and it is not statistically recognized. Endometrial sampling is an office procedure that used as method of endometrial assessment. Simple random sampling, systematic sampling, stratified sampling fall into the category of simple sampling techniques. In the following decades, other outpatient endometrial sampling devices became available. Endometrial biopsy adult, peds uc san diego health. The objective of this study was to explore the costeffectiveness of two endometrial sampling procedures for diagnosing ec.
May 25, 2012 the study concluded that the pipelle device is a limited endometrial sampling technique for obtaining an adequate and representative endometrial sample. Chapter 4 stratified sampling an important objective in any estimation problem is to obtain an estimator of a population parameter which can take care of the salient features of the population. A manual for selecting sampling techniques in research 5 of various types of probability sampling technique. Validity of pipelle endometrial sampling in patients with. Comparison of efficacy and morbidity of pipelle vs conventional endometrial sampling nadia khurshid1, farhan sadiq2, sameera akhtar3 abstract objective. In light of the outcome of this research, both the curettage and pipelle. The accuracy of endometrial sampling in the diagnosis of.