Histeroskopia – technika dla każdego i wszędzie. 1074 zabiegi wykonane w warunkach ambulatoryjnych

The aim was to investigate safety and efficacy of outpatient diagnostic and operative hysteroscopies.1074 procedures were carried out by experienced operators. Procedures were performed using 2.9, 3.5 telescopesand a 7 mm resectoscope between February 2004 and October 2009. The uterine cavity was di...

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Bibliographic Details
Main Authors: Paweł Radwan, Michał Radwan, Ireneusz Połać, Jacek R. Wilczyński
Format: Article
Language:English
Published: Termedia Publishing House 2010-04-01
Series:Menopause Review
Subjects:
Online Access:http://www.termedia.pl/Histeroskopia-8211-technika-dla-kazdego-i-wszedzie-1074-zabiegi-wykonane-w-warunkach-ambulatoryjnych,4,14767,1,0.html
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Summary:The aim was to investigate safety and efficacy of outpatient diagnostic and operative hysteroscopies.1074 procedures were carried out by experienced operators. Procedures were performed using 2.9, 3.5 telescopesand a 7 mm resectoscope between February 2004 and October 2009. The uterine cavity was distendedwith 5% mannitol. 717 of 1074 were performed with no anaesthesia. 301 operative and 773 diagnostic hysteroscopieswere carried out. Main outcomes were: success/failure and complication rate.Mean age of the patients was 32.6 ±4.64 years. Mean time of the procedure was 58 minutes ±29 seconds.All 1074 hysteroscopies were successfully performed by 6 operators. Failure and complication rates were 8/1074and 4/1074 respectively. There was only one uterine perforation. The most recognized and operated pathologywas endometrial polyp (13%). 221 polypectomies, 18 myomectomies and 23 hysteroscopic septoplasties werecarried out.Hysteroscopy is a fast and simple procedure for evaluation and treatment of the uterine cavity with a verylow rate of complications. Recent advances in technique and instrumentation will encourage adoption of outpatienthysteroscopy in Poland.
ISSN:1643-8876