Audit of operative hysteroscopies among infertile women in a resource-poor setting
Autor: | Charlotte Blanche Oguejiofor, Joseph O. Ugboaja, Onyecherelam M. Ogelle |
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Rok vydání: | 2017 |
Předmět: |
Infertility
Adult medicine.medical_specialty Pregnancy Rate medicine.medical_treatment Nigeria Hysteroscopy 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy medicine Humans Prospective Studies Developing Countries Resource poor 030219 obstetrics & reproductive medicine Clinical Audit medicine.diagnostic_test business.industry Obstetrics and Gynecology Operative hysteroscopy General Medicine Middle Aged medicine.disease Polypectomy Surgery Pregnancy rate 030220 oncology & carcinogenesis Female business Live birth Complication Infertility Female |
Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 141(1) |
ISSN: | 1879-3479 |
Popis: | OBJECTIVE To evaluate the operative hysteroscopy procedures performed among infertile women at two hospitals in Nigeria. METHODS A prospective case series was undertaken among all patients with infertility who underwent operative hysteroscopy between November 2015 and April 2017. The outcome measures included the frequency and type of operative hysteroscopy and the reproductive outcome. RESULTS The series included 159 women, 70.4% (n=112) of whom had abnormal findings at hysteroscopy. A total of 162 operative hysteroscopic procedures were performed; the most common procedures were adhesiolysis (76 [46.9%]), polypectomy (28 [17.3%]), and septum resection/incision (17 [10.5%]). The instruments used were mainly scissors (65 [40.1%]) and a resectoscope (52 [32.1%]). Complete removal of the lesions was achieved in 86.4% (n=140) of the procedures and a normal cavity in 87.0% (n=141). The complication rate was 6.8% (n=11); the most common complication was minor hemorrhage (5 [3.1%]). The main challenges included poor distention (10 [6.2%]) and poor vision (8 [4.9%]). Menstrual normalization was achieved in 64 (40.3%) of the patients, the cumulative pregnancy rate was 19.5% (n=31), and the live birth rate was 3.8% (n=6). CONCLUSION Operative hysteroscopy was feasible and safe in the present resource-poor region. There is a need to build capacity for the performance of hysteroscopy to facilitate the management of infertility in the region. |
Databáze: | OpenAIRE |
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