Hysterosalpingographic Indications and Findings among Women Presenting to Radiology Department of a Tertiary Hospital in South-South Nigeria: A Retrospective Study

Akagbue, Vivian Ndidi; Nonye-Enyidah, Esther Ijeoma; Aderibigbe, Gbenga Jacob

doi:10.9734/bpi/pramr/v8/4085b

Cited by 3 publications

(5 citation statements)

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“…Gynaecological laparoscopy is a trans-peritoneal endoscopic technique that excellently shows the pelvic structures and is often used to detect gynaecologic disorders and perform pelvic surgery without a laparotomy procedure 4 . It is among the most popular surgical intervention carried out by gynaecologists, and also one of the most crucial investigative device for detecting tubal disease in developed nations [4][5][6][7][8][9] . About 80% of gynaecological surgical procedures can be done laparoscopically 4 .…”

Section: Introductionmentioning

confidence: 99%

Facing the challenges of gynaecological endoscopic surgical practice in Nigeria: A review

John Celestine Osita,

Nyengidiki K Tamunomie

2024

Int. J. Sci. Res. Arch.

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Background: The scope of gynaecological endoscopy in Nigeria is expanding as more experience is gained with training and collaborations. However, this advancement is limited by multi-faceted challenges, especially in our sub region. Objectives: To evaluate the experiences and challenges of gynaecologic endoscopic surgical practice in Nigeria. Materials and Methods: An electronic literature search of all articles published on gynaecologic endoscopic surgery in Nigeria between 1984 and 2023 was conducted using High wire, Google, Google scholar, PubMed, Hinari, Web of Science and Springer Link. All relevant peer-reviewed articles and publications were identified, retrieved, and reviewed. Telephone and face-to-face interviews with Endoscopic surgeons from public and private institutions across the country were conducted as it related to challenges and experiences of practice. Data was collated in a pre-structured spreadsheet and analyzed with the Statistical Package for Social Science version 25. Results are presented as frequency tables and percentages. Results: The study identified lack of public awareness, socio-cultural, economic, low budgetary allocation to healthcare, decline in national infrastructure, conflict, and insecurity as non-institutional challenges. The institutional challenges reported were limited number of public institutions offering gynaecological endoscopic services, with practice more in private hospitals. Conclusion: Gynaecological endoscopic practice is largely suboptimal due to limited facilities and personnel, as well as a lack of political will. Efforts should be made to address these challenges and to proffer potential solutions that will improve healthcare delivery to women.

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Section: Introductionmentioning

confidence: 99%

Facing the challenges of gynaecological endoscopic surgical practice in Nigeria: A review

John Celestine Osita,

Nyengidiki K Tamunomie

2024

Int. J. Sci. Res. Arch.

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“…Conducted during the follicular phase of the menstrual cycle to avoid interference with potential early pregnancy, HSG yields optimal outcomes through fluoroscopy with image intensification. The enduring popularity of HSG can be attributed to its affordability, accessibility, and straightforward interpretability 1,2,3 Despite its invasive nature, HSG retains its pivotal role in infertility management, having served as a cornerstone of clinical gynaecology for many years. It proves especially valuable in exploring uterine and tubal factors contributing to female infertility.…”

Section: Introductionmentioning

confidence: 99%

Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal

Khanal,

Katwal,

Shrestha

et al. 2023

Nep J Radiology

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Introduction: Hysterosalpingography (HSG) is a commonly used diagnostic procedure to investigate the causes of female subfertility. This study aimed to evaluate the range of findings observed in HSG examinations conducted for this purpose. Methods: A prospective cross-sectional study was conducted at the Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, from December 2022 to April 2023. The study included 196 female participants who underwent HSG and met the inclusion criteria. Results: Out of the 196 participants, 127 (64.8%) were categorized as having primary subfertility, while 69 (35.2%) had secondary subfertility. The mean age of the participants was 30.61±5.623 years, with an age range of 20 to 45 years. Among the participants, 142 (72.4%) exhibited a normal uterus, 23 (11.7%) displayed left tubal occlusion, 17 (8.7%) showed right tubal occlusion, 13 (6.6%) had other findings, and 1 (0.5%) was diagnosed with uterine fibroids. Conclusions: This study demonstrated that approximately one out of every five HSG examinations performed to evaluate subfertility revealed tubal occlusion. Consequently, the high detection rate of uterine and tubal pathologies using HSG underscores its critical role as a diagnostic tool for assessing women with subfertility.

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“…Endoscopy is a minimally invasive procedure and entails the examination of the interior of a canal or hollow viscus with a specialized instrument called an endoscope (1).Gynaecological Laparoscopy is a transperitoneal endoscopic technique that provides excellent visualization of the pelvic structures and often permits the diagnosis of gynaecologic disorders and pelvic surgery without laparotomy (2). It is one of the most common surgical procedures performed by gynaecologists and the most important investigative tool for evaluating tubal disease in developed countries (2)(3)(4)(5)(6)(7). Approximately 80% of all gynaecological surgical procedures can be laparoscopically (2).…”

Section: Introductionmentioning

confidence: 99%

“…introduced in the 1970s through collaboration with donor agencies, is still evolving and is mainly diagnostic (6).…”

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confidence: 99%

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Gynaecological Pan-endoscopy (Hystero-laparoscopy) in a tertiary health facility in Nigeria: A ten-year clinical audit

Fehintola,

Omitinde,

Archibong

et al. 2023

REJHS

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Objective: This study aims to determine the prevalence, indications, common findings, challenges, and complications of gynaecological pan-endoscopy in Obafemi Awolowo University Teaching Hospitals Complex, Osun State. Methods: It was a retrospective study. Records of patients who had gynaecological hysteroscopy and (or) Laparoscopy from 1st January 2012 to 31st December 2021 were retrieved, and relevant data were extracted and analyzed using the SPSS version 21.0 Results: There were 2125 gynaecological surgeries within the study period, with 207 endoscopies giving a prevalence of 9.7%. Infertility 100 (51.5%) was the most common indication. Common findings were tubal block 45(33.6%) and intrauterine adhesions 19 (31.7%). The most common complication and challenge were shoulder tip pain 35(18.0%) and instrument failure 76 (39.2%), respectively. There is a statistically significant relationship between the occurrence of complications during Endoscopy and duration of surgery (X2 = 25.693, P= 0.000), endoscopy type (X2=21.636, P=0.000), and hospital stay (X2 = 63.213, P=0.000) Conclusion: The utilization rate of gynaecological pan-endoscopy could be higher and shows more skills, logistics, and staffing. Therefore, efforts should be intensified towards training and provision of up-to-date facilities for endoscopic surgery in our setting.

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Hysterosalpingographic Indications and Findings among Women Presenting to Radiology Department of a Tertiary Hospital in South-South Nigeria: A Retrospective Study

Cited by 3 publications

References 0 publications

Facing the challenges of gynaecological endoscopic surgical practice in Nigeria: A review

Facing the challenges of gynaecological endoscopic surgical practice in Nigeria: A review

Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal

Gynaecological Pan-endoscopy (Hystero-laparoscopy) in a tertiary health facility in Nigeria: A ten-year clinical audit

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