Bigatti shaver versus Bipolar electrocautry in management of endometrial polyps in infertile women

Background: Endometrial polyps may be characterized by heavy vaginal bleeding which needs surgical interventions like bipolar electrocautry surgery. They are commonly removed by excision using a resectoscope but this approach convey several complications like lack of complete removal, improper imaging , fluid intolerance and uterine or bowel injury .The new intrauterine Bigatti shaver (IBS) is a mechanical shaver that provides complete resection ,continuous fluid Input and deficit ,direct visualization and rare recurrence .Aim: To assess the intrauterine Bigatti shaver safety and value as hysteroscopic mechanical removal procedure for the management of endometrial polyps in comparison with resectoscope hysteroscopy. Methods:. The study was performed between October 2023 to October 2024 on sixty patients .All demographics and operative information like set-up time, resection time and complications were evaluated ,endometrial polyps were removed by two procedures, Bigatti shaver and resectoscope hysteroscopy .data collected and analyzed . Results: Sixty patients were divided into 2 groups for Bigatti shaver and resectoscope hysteroscopy .There is significant difference in operating time between Bigatti shaver and resectoscope (2.46 ± 0.65, 7.44 ± 1.08 respectively ), in addition to significant difference in fluid input(1108.06±250.03, 1803.45 ± 431.14 respectively ) but fluid defecits have no significant differences. In Bigatti shaver all patients have no bleeding as a complication when compared to resectoscope . Conclusion: .. The Bigatti shaver is a highly effective tool for the removal of endometrial polyps, offering a minimally invasive alternative to traditional methods. It combines mechanical tissue resection with continuous visualization, reduces the risk of uterine perforation and minimizes trauma to surrounding tissue, promoting faster recovery and enhanced patient outcomes