Vaginohysteroscopy, a Patient-Friendly Technique for Outpatient Hysteroscopy: Experience of the First 100 Cases
| Autor: | Maruti Sinha, Renu Misra, Suneeta Mittal |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Mild pain medicine.diagnostic_test business.industry Outcome measures Diagnostic hysteroscopy Hysteroscopy Middle Aged Surgery Tolerability Feasibility Studies Humans Medicine Operative time Female Prospective Studies business Menorrhagia Menstruation Disturbances Conventional technique Outpatient hysteroscopy |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 15:290-293 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/lap.2005.15.290 |
| Popis: | To evaluate the feasibility and tolerability of the vaginoscopic approach for office hysteroscopy.Prospective observational study.Tertiary care hospital.Unselected, consecutive 100 patients scheduled for diagnostic hysteroscopy.Hysteroscopy with a vaginoscopic approach using a 5-mm rigid hysteroscope with single inflow channel, and normal saline for distension.Successful hysteroscopy by the vaginoscopic approach; operative time; and degree of pain experienced.The vaginoscopic technique was successful in 79% of the patients. The median operative time was 120 seconds in successful cases and 360 seconds in those in which the vaginoscopic approach was unsuccessful and had to be performed by the conventional technique with or without dilatation, the difference being statistically significant (P0.001). The procedure tookor = 2 minutes in 91.1% (72/79) of the successful cases. No pain or mild pain was experienced by 97.5% (77/79) of patients in whom vaginohysteroscopy was successful.Hysteroscopy with the vaginoscopic approach is the ideal method for outpatient hysteroscopy. It is feasible, quick, and very well tolerated, obviating the need for any analgesia or local anesthesia. |
| Databáze: | OpenAIRE |
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