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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2006, Number 02

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Ginecol Obstet Mex 2006; 74 (02)

Usefulness of office hysteroscopy

Saad GA, Salazar LOCG, Lejtik ACA, Quintero BP, Palma DJ
Full text How to cite this article

Language: Spanish
References: 8
Page: 104-109
PDF size: 104.39 Kb.


Key words:

hysteroscopy, office, anesthesia.

ABSTRACT

Objective: To demonstrate the efficacy and feasibility of the office hysteroscopy in the treatment of the endouterine pathologies.
Design: retrospective, descriptive and observational.
Patients and method: We included all the office hysteroscopies performed since February-2000 to August-2004 (n=84) in a private medical office. We performed 32 diagnostic procedures without anesthesia and 52 operative procedures with anesthesia (I.V. sedation). We used a Karl Storz diagnostic telescope and a Bettocchi operative telescope.
Results: Postoperative care was in the office since 90 minutes and all patients went home without complications. Mean age of the patients was 38±10 years. The indications to perform the procedure were infertility and abnormal transvaginal bleeding. There were not complications. All of the diagnostic procedures were done without anesthesia and we verified patient satisfaction with a pain store since 1 to 10 points. Twenty patients could get pregnant after the procedure and in two patients we detected endometrial carcinoma.
Conclusion: With these results, we can assume that office hysteroscopy is a procedure with minimal complications when is performed by expert hands and with excellent patients’ satisfaction and benefit.


REFERENCES

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  2. 2 Gola A, Ron-El R, Herman A, Soffer Y. Diagnostic hysteroscopy: its value in an in vitro fertilization/embryo transfer unit. Hum Reprod 1992;7:1433-4.

  3. 3 Bettocchi S, Nappi L, Ceci O, Selvaggi L. What does “diagnostic hysteroscopy” mean today? The role of the new techniques. Curr Opin Obstet Gynecol 2003;15:303-8.

  4. 4 Bettocchi S, Nappi L, Ceci O, Di Venere R, Masciopinto V. Operative office hysteroscopy without anesthesia: Analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol Laparosc 2004;11:59-61.

  5. 5 Clark J, Bakour S, Gupta J, Khan K. Evaluation of outpatient hysteroscopy and ultrasonography in the diagnosis of endometrial disease. Obstet Gynecol 2002;99:1001-7.

  6. 6 Bettocchi S, Selvaggi L. A vaginoscopic approach to reduce pain in office hysteroscopy. J Am Assoc Gynecol Laparosc 1997;4:37-41.

  7. 7 Rogerson L, Bates J, Weston M, Duffy S. A comparison of outpatient hysteroscopy with saline infusion hysterosono­graphy. Br J Obstet Gynaecol 2002;109:800-4.

  8. 8 Guida M, Pellicano M, Zullo F, Acunzo G, et al. Outpatient operative hysteroscopy with bipolar electrode: a prospective multicentre randomized study between local anaesthesia and conscious sedation. Hum Reprod 2003;18:840-3.




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Ginecol Obstet Mex. 2006;74