Hysteroscopy safety

Cholkeri-Singh, Aarathi; Sasaki, K.J.

doi:10.1097/gco.0000000000000289

Cited by 33 publications

(23 citation statements)

References 36 publications

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“…IUA not only affects the physical health of patients, but also cause psychological changes, including anxiety and depression and even lead to infertility [1,3]. With the rapid development of modern medical technology, minimally invasive techniques such as hysteroscopic surgery have become increasingly popular [9,10]. Hysteroscopy has allowed us to clearly view and detect the pathological changes in the uterine cavity and subsequently perform minimally invasive and incredibly safe procedures that cause minimum trauma and bleeding.…”

Section: Discussionmentioning

confidence: 99%

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Clinical efficacy of hysteroscopic surgery combined with extensive care by professional nursing teams in the treatment of patients with intrauterine adhesions

Liu¹,

Enlan²,

Xu³

2018

biomedicalresearch

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Patients with intrauterine adhesions may exhibit serious medical problems such as infertility and miscarriage. In this study, we aimed to evaluate the clinical efficacy of hysteroscopic surgery combined with extensive care during the preoperative, intraoperative and postoperative phase of the procedure by professional nursing teams in the management of patients with intrauterine adhesions. 98 patients with intrauterine adhesions enrolled from October 2013 to June 2016 were randomly divided into a control group (49 cases) who received drug therapy and an observation group (49 cases) who underwent hysteroscopic surgery combined with extensive care during the preoperative, intraoperative and postoperative phase of the procedure. Our data showed that the conception rate in observation group (85.7%) was significantly higher than that of control group (59.2%) (P=0.033). Additionally, the abortion rate (0.0%) and the incidence of postoperative complications (8.2%) in the observation group was significantly lower than those in the control group (3.4% and 8.2%) (P<0.05). Moreover, satisfaction scores in observation group (100%) is significantly higher than that in the control group (81.6%) (P=0.026). Furthermore, there is significant less anxiety or depression in the observation group than in the control group (P<0.05). Together, we find that hysteroscopic surgery combined with extensive care during the preoperative, intraoperative and postoperative phase of the procedure by professional nursing teams considerably improve the clinical outcomes of patients with intrauterine adhesions.

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Section: Discussionmentioning

confidence: 99%

“…Hysteroscopy has allowed us to clearly view and detect the pathological changes in the uterine cavity and subsequently perform minimally invasive and incredibly safe procedures that cause minimum trauma and bleeding. It has offered great benefits in the treatment of gynecological diseases including intrauterine adhesions [10,11].…”

Section: Discussionmentioning

confidence: 99%

Clinical efficacy of hysteroscopic surgery combined with extensive care by professional nursing teams in the treatment of patients with intrauterine adhesions

Liu¹,

Enlan²,

Xu³

2018

biomedicalresearch

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“…Direct visualization of the entire uterine cavity provides an opportunity to perform a biopsy of suspicious lesions or surgical resection [7]. However, operative hysteroscopy may be associated with complications such as uid overload, uterine perforation, and bleeding [8]. Several strategies have been used to facilitate the procedure and improve prognosis [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Uterine Evacuation before Operative Hysteroscopy in Patients with Active Uterine Bleeding: A randomized controlled trial

Sayyah-Melli

Shishavan

Behravan

et al. 2020

Preprint

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Background: Concurrent bleeding or existing clots usually obscure the vision field and decrease the success rate of hysteroscopy. Therefore, any efforts made in order to have a clear view during the hysteroscopy will improve the diagnostic or treatment outcomes. We examined the effect of preoperative clot evacuation on hysteroscopy and patient outcomes. Methods: In this parallel-group trial, 114 patients with uterine bleeding were randomly assigned to receive either clot evacuation before standard operative hysteroscopy or standard hysteroscopy alone. The investigated endpoints were the clarity of vision, amount of bleeding, the volume of distension media, duration of the procedure, and postoperative complications. Results: All 114 participants completed the study. There were statistically significant differences in the frequency of the clear vision (p<.001), the severity of bleeding (p=.0006), mean procedure time (p<.001), mean serum volume used (p<.001), and the postoperative hematocrit levels (p<.001) between groups, in favor of women with preprocedural intrauterine evacuation. There was no difference related to in-hospital stay (p=0.081) and anesthetic complications among the patients (p=0.182). The procedure was successfully performed on all patients of both groups with zero postoperative complications. Conclusion: Removal of clots and other uterine contents before the insertion of the hysteroscope rendered better and faster access to the uterine wall to observe existing abnormalities. This additional surgical step could take a significant impact on surgical and clinical outcomes. Trial registration: Clinical trial registry name: Iranian Registry of Clinical Trials Url: https://en.irct.ir/trial/33369 The registration number: IRCT20101130005283N13 Date of trial registration: 2018-11-16

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“…Direct visualization of the entire uterine cavity provides an opportunity to perform a biopsy of suspicious lesions or performing a surgical resection [7]. However, operative hysteroscopy may be associated with some complications such as fluid overload, bleeding, and uterine perforation [8]. Several strategies have been used to facilitate the procedure and improve the prognosis [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Uterine Evacuation before Operative Hysteroscopy in Patients with Active Uterine Bleeding: A randomized controlled trial

Sayyah-Melli

Shishavan

Behravan

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Concurrent bleeding or existing clots usually obscure the vision field and decrease the hysteroscopy success rate. Therefore, any efforts made to have a clear view during the hysteroscopy will improve the diagnostic or treatment outcomes. In this study, we examined the effect of preoperative clot evacuation on hysteroscopy and patient outcomes.Methods: In this parallel-group clinical trial conducted from December 2018 to September 2019 at the Oncology Center of Alzahra Teaching Hospital in Tabriz, Iran, 114 patients with uterine bleeding were randomly assigned to receive either clot evacuation before standard operative hysteroscopy or standard hysteroscopy alone. The investigated endpoints were the clarity of vision, the volume of used distension media, duration of the procedure, amount of bleeding, and postoperative complications.Results: All 114 participants completed the study. There were statistically significant differences in the frequency of the clear vision (p<.001), the severity of bleeding (p=.0006), mean serum volume used (p<.001), mean procedure time (p<.001), and the postoperative hematocrit levels (p<.001) between groups, in favor of women with preprocedural intrauterine evacuation. There was no difference in in-hospital stay (p=0.081) and anesthetic complications among the patients (p=0.182). The procedure was successfully performed on all patients of both groups with zero postoperative complications.Conclusion: Removal of clots and other uterine contents before inserting hysteroscope rendered better and faster access to the uterine wall to observe existing abnormalities and reduce the hysteroscopy time. This additional surgical step could take a significant impact on surgical and clinical outcomes.Trial registration: Clinical trial registry name: Iranian Registry of Clinical Trials URL: https://en.irct.ir/trial/33369 The registration number: IRCT20101130005283N13 Date of trial registration: 2018-11-16

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Hysteroscopy safety

Abstract: With appropriate training and education, gynecologists can safely incorporate hysteroscopy into their surgical practice.

Cited by 33 publications

References 36 publications

Clinical efficacy of hysteroscopic surgery combined with extensive care by professional nursing teams in the treatment of patients with intrauterine adhesions

Clinical efficacy of hysteroscopic surgery combined with extensive care by professional nursing teams in the treatment of patients with intrauterine adhesions

Uterine Evacuation before Operative Hysteroscopy in Patients with Active Uterine Bleeding: A randomized controlled trial

Uterine Evacuation before Operative Hysteroscopy in Patients with Active Uterine Bleeding: A randomized controlled trial

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