Hysteroscopy: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians

Deffieux, X.; Gauthier, Tristan; Ménager, N.; Legendre, Guillaume; Agostini, Aubert; Pierre, Fabrice H.F.

doi:10.1016/j.ejogrb.2014.04.026

Cited by 47 publications

(22 citation statements)

References 125 publications

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“…Several treatments have been proposed. Non-invasive procedures such as pressure lavage under ultrasound guidance or fluoroscopically-guided hysteroscopic division of adhesions have been proposed, but hysteroscopic removal remains the gold standard [4][5][6][7]. During the last decade, many barrier agents have been introduced during hysteroscopic procedures for removal of fibroids, uterine septa or polyps to prevent IUAs and in the hope of increasing the pregnancy rate.…”

Section: Introductionmentioning

confidence: 99%

“…During the last decade, many barrier agents have been introduced during hysteroscopic procedures for removal of fibroids, uterine septa or polyps to prevent IUAs and in the hope of increasing the pregnancy rate. Intra-uterine devices or balloons have yielded controversial outcomes [7][8][9][10]. Among biological barrier agents, hyaluronic acid, carboxymethyl cellulose and autocross-linked hyaluronic acid (ACP) gel have been evaluated following many hysteroscopic procedures [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of auto-cross-linked hyaluronic acid gel on pregnancy rate and hysteroscopic outcomes following surgical removal of intra-uterine adhesions

Thubert

Dussaux

Demoulin

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influence of auto-cross-linked hyaluronic acid gel on pregnancy rate and hysteroscopic outcomes following surgical removal of intra-uterine adhesions

Thubert

Dussaux

Demoulin

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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“…In an attempt to decrease the incidence of dilutional hyponatremia or the systemic absorption of the distending media, various methods have been used [4], including automated fluid monitoring [5,6], intraoperative oxytocin or vasopressin use [7,8], pretreatment with danazol or gonadotropin-releasing hormone agonists [9,10], use of 1.5% glycine [11], or use of a bipolar resectoscope [12]. In order to minimize the amount of distending media infused during hysteroscopic procedures, we used the manual syringe infusion (MI) method to infuse distending media.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of manual syringe infusion of distending media for hysteroscopic procedures: a case–control study

Ting

Lin

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Our team has performed (and we do recommend) repeated fluid balance and a frequent evaluation about the possibility of stopping surgery when/if a tendency toward high absorption is detected 14 . Also, according to Deffieux et al 34 , if the fluid deficit of 2,000 mL of irrigation is reached, surgery must be stopped. Actually, if the absorbed fluid volume is continually monitored, time control becomes less important 14 .…”

Section: Discussionmentioning

confidence: 99%

Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

Fonseca¹,

Andrade²,

Nogueira³

et al. 2015

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To verify the predictors of intravasation rate during hysteroscopy. METHODS: Prospective observational study (Canadian Task Force classification II-1). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) and the other for absorption rate (mL.min -1). The predictors tested (independent variables) were energy (mono/bipolar), tube patency (with/without tubal ligation), hysterometry (cm), age≤50 years, body surface area (m 2 ), surgical complexity (with/without myomectomy) and duration (min). RESULTS: Mean intravasation was significantly higher when myomectomy was performed (442±616 versus 223±332 mL; p<0.01). In the proposed multiple linear regression models for total intravasation (adjusted R 2 =0.44; p<0.01), the only significant predictors were myomectomy and duration (p<0.01).In the proposed model for intravasation rate (R 2 =0.39; p<0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p<0.01, respectively). CONCLUSIONS: Not only myomectomy but also hysterometry were significant predictors of intravasation rate during operative hysteroscopy. ResumoOBJETIVO: Testar preditores do ritmo de intravasamento durante histeroscopia cirúrgica. MÉTODOS: Estudo prospectivo observacional (classificação: Canadian Task Force II-1) incluindo casos conduzidos em centro cirúrgico (n=200 mulheres; 22 a 86 anos de idade). Considerando os erros de aferição nas embalagens de solução de irrigação para calcular o balanço hídrico, nós testamos dois modelos de regressão linear múltipla: um para intravasamento total (mL) e outro para ritmo de intravasamento (mL.min -1 ). Os preditores testados (variáveis independentes) foram energia (mono/ bipolar), permeabilidade tubária (com/sem ligadura tubária), histerometria (cm), status ovariano (idade≤50 anos), área de superfície corporal (m 2 ), complexidade de cirurgia (com/sem miomectomia) e tempo de ressecção (min). RESULTADOS: O intravasamento médio foi significativamente maior quando miomectomia foi realizada (442±616 versus 223±332 mL, p<0,01). No modelo proposto para intravasamento total (R 2 ajustado=0,44; p<0,01), os únicos preditores significativos foram miomectomia e tempo de duração (p<0,01). No modelo proposto para a taxa de intravasamento (R 2 =0,39; p<0,01), somente miomectomia e histerometria foram preditores significativos (p=0,02 e p<0,01, respectivamente). CONCLUSÕES: Não só a miomectomia mas também a histerometria são preditores significativo da taxa de intravasamento durante histeroscopia cirúrgica.

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Hysteroscopy: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians

Cited by 47 publications

References 125 publications

Influence of auto-cross-linked hyaluronic acid gel on pregnancy rate and hysteroscopic outcomes following surgical removal of intra-uterine adhesions

Influence of auto-cross-linked hyaluronic acid gel on pregnancy rate and hysteroscopic outcomes following surgical removal of intra-uterine adhesions

Safety and efficacy of manual syringe infusion of distending media for hysteroscopic procedures: a case–control study

Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

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