eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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2/2010
vol. 9
 
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abstract:
Original paper

Hysteroscopy – a technique for everyone and everywhere. 1074 outpatient hysteroscopies

Paweł Radwan
,
Michał Radwan
,
Ireneusz Połać
,
Jacek R. Wilczyński

Przegląd Menopauzalny 2010; 2: 101–104
Online publish date: 2010/05/12
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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 telescopes and a 7 mm resectoscope between February 2004 and October 2009. The uterine cavity was distended with 5% mannitol. 717 of 1074 were performed with no anaesthesia. 301 operative and 773 diagnostic hysteroscopies were 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 8/1074 and 4/1074 respectively. There was only one uterine perforation. The most recognized and operated pathology was endometrial polyp (13%). 221 polypectomies, 18 myomectomies and 23 hysteroscopic septoplasties were carried out.

Hysteroscopy is a fast and simple procedure for evaluation and treatment of the uterine cavity with a very low rate of complications. Recent advances in technique and instrumentation will encourage adoption of outpatient hysteroscopy in Poland.
keywords:

outpatient hysteroscopy, safety, efficacy

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