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Have any of you considered or attempted to combine SIS with endometrial bx?

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Yes - I work for an OB/GYN physician and we routinely perform SIS with bx with great success - if during the SIS we see evidence of something that looks suspicious, we are ready then and there with just a small amount of additional prepping of pt to perform a bx - of course this is discussed as a possibility with pt beforehand as you are aware of those pt's that you strongly suspect are going to need a bx considering their hx and symptoms~
I'm referring to the technique of using SIS during Bx as a method of eliminating "blind biopsy" that is characteristic of the traditional way of obtaining endometrial specimens. Not doing a Bx right after SIS.

aes
There is a good article about doing EMB during SIS with improved accuracy over blind biopsy by Moschos et al in the green journal: Obstetrics &Gynecology, vol 113, No. 4: April, 2009. I have ordered some of these Explora pipelles to start using during my ultrasound clinic for this.
Leslie Kammire
Wake Forest University

Anthony E. Swartz said:
I'm referring to the technique of using SIS during Bx as a method of eliminating "blind biopsy" that is characteristic of the traditional way of obtaining endometrial specimens. Not doing a Bx right after SIS.

aes
yes; Did you experience that?
Interesting concept. How you resuscitate a patient in a small out door clinic in case of an eventuality.

Tracie said:
Yes - I work for an OB/GYN physician and we routinely perform SIS with bx with great success - if during the SIS we see evidence of something that looks suspicious, we are ready then and there with just a small amount of additional prepping of pt to perform a bx - of course this is discussed as a possibility with pt beforehand as you are aware of those pt's that you strongly suspect are going to need a bx considering their hx and symptoms~

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