2014, Number 10
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Ginecol Obstet Mex 2014; 82 (10)
Influence of the level of training of the specialist in intra and post operative pain in patients who undergo officinal hysteroscopy
Cardoso-Medina B, Moyano-Acevedo J, Arias-Alvarez RA, Rey-Atehortúa MM, Diaz-Barrero D, Solórzano-Aldana MC
Language: Spanish
References: 20
Page: 659-665
PDF size: 404.75 Kb.
ABSTRACT
Backgrounds: There are variable results regarding the risk factors associated
with levels of pain during office hysteroscopy
Objective: Describe levels of pain in Colombian patients who undergo
office hysteroscopy performed by doctors in training.
Material and methods: Case series study. Conducted in patients who
undergo office hysteroscopy without anesthesia in outpatient clinic in
May 2012. The procedure was performed by Gynecologists in training
and under supervision of the specialist. The Obstetric and Gynecological
history was obtained through questionnaire. The pain perception,
according to visual analog scale (VAS), was taken at three moments
during the study: (1) 5 minutes before the procedure, (2) At the end of
the procedure, (3) 10 minutes after the procedure.The major outcomes
were: VAS 0-4, considered as absent or mild pain and VAS 5-10 considered
as moderate or severe pain.
Results: We studied 44 patients, aged between 29 and 65 years. The
group of patients with a VAS score ›5 was mainly compose by: (1) Patients
older than 50 years (58.8%), (2) with positive history of C-section
(66.7%), (3) with positive history of abortion (75%) and menopausal
(56.3%).
Conclusion: 47.7% of our patients present VAS score › 5. The majority
of this group was composed by patients with risk factors to have pain
during office hysteroscopy. Then we can’t conclude that the level of
pain experimented by our patients was due to the level of training of
the doctors.
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