%0 Systematic Review
%T Efficacy, safety, and feasibility of the treatment of intrauterine pathologies with the mini-resectoscope: A systematic review.
%A Etrusco A
%A Laganà AS
%A Chiantera V
%A Gerli S
%A Carugno J
%A Sorrentino F
%A Riemma G
%A Vitagliano A
%A Favilli A
%J Int J Gynaecol Obstet
%V 166
%N 2
%D 2024 Aug 5
%M 38317479
%F 4.447
%R 10.1002/ijgo.15393
%X <B>BACKGROUND: </B>Hysteroscopy represents the gold standard for the diagnosis and treatment of intrauterine pathologies. The advent of the mini-resectoscope heralded a new era in intrauterine surgery, both in inpatient and outpatient settings.<BR><B>OBJECTIVE: </B>To evaluate the effectiveness, safety, and feasibility of the mini-resectoscope for the treatment of intrauterine pathologies.<BR><B>METHODS: </B>Electronic databases were searched for English-language trials describing surgical procedures for uterine pathologies performed with a mini-resectoscope until 30 April 2023.<BR><B>METHODS: </B>Retrospective or prospective original studies reporting the treatment of uterine pathologies with mini-resectoscope were deemed eligible for the inclusion.<BR><B>METHODS: </B>Data about study features, characteristics of included populations, surgical procedures, complications, and results/outcomes were collected.<BR><B>RESULTS: </B>Seven papers that met the inclusion criteria were included in this systematic review. Quantitative analysis was not possible due to data heterogeneity. A descriptive synthesis of the results was provided accordingly to the pathology hysteroscopically removed/corrected: polyps and myomas, uterine septum, intrauterine synechiae, and isthmocele.<BR><B>CONCLUSIONS: </B>The mini-resectoscope is poised to play a leading role in hysteroscopic surgery for many pathologies, both in inpatient and outpatient settings. Since some applications of the mini-resectoscope have not yet been thoroughly investigated, future studies should address current knowledge gaps, designing high-quality comparative trials on specific applications.