Is outpatient hysteroscopy the new gold standard? Results from an 11 year prospective observational study

Ma, Tony; Readman, Emma; Hicks, Lauren; Porter, Jenny; Cameron, Melissa; Ellett, Lenore; McIlwaine, Kate; Manwaring, Janine; Maher, Peter

doi:10.1111/ajo.12560

Cited by 38 publications

(47 citation statements)

References 19 publications

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“…Hysteroscopy has proved its value and has now become a gold-standard technique carried out as an outpatient procedure. 17 Unfortunately, the procedure itself is not free from complications. In this study, complications were under 2.5%, and the majority of them occurred during operative procedures.…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization

Al-Turki

2018

SMJ

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Objectives:To evaluate the use of hysteroscopy in the assessment of uterine pathologies in infertile women with repeated implantation failure (RIF) after in vitro fertilization (IVF) and determine whether removal of such pathologies increased pregnancy rates in women with RIF.Methods:This prospective study was conducted at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia, between January 2010 and December 2015. The inclusion criteria were women who underwent IVF treatment cycles and ended in more than 2 RIF, and women who underwent hysterosalpingography (HSG). Hysteroscopies were performed, findings were recorded, and the clinical pregnancy rates were compared and assessed in patients with and without uterine cavity abnormality. All hysteroscopic procedures were performed by a single consultant.Results:Hysteroscopies were performed on 266 women who had at least 2 RIF. The average duration of infertility was 7.2±3.1 years. In 162 patients (60.9%), a hysteroscopy did not find any abnormality of the uterine cavity. In 104 patients (39.1%) there were one or more abnormal hysteroscopic findings. Hysterosalpingography was able to detect only 54 abnormalities (51.9%). The pregnancy rate was significantly higher in patients who were treated by a hysteroscopy for a detected uterine abnormality (39.4%).Conclusion:A hysteroscopy was able to detect intrauterine pathologies which were missed by other investigative modalities. We believe patients with a history of RIF should undergo hysteroscopic examination before any further cycles are considered.

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Section: Discussionmentioning

confidence: 99%

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization

Al-Turki

2018

SMJ

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“…Therapeutic uses include endometrial polypectomy and removal of lost intrauterine devices . The procedure has several benefits including low cost, no need for general or regional anesthesia, and lower rates of complications . However, the most common adverse event and reason for procedure failure is pain .…”

Section: Introductionmentioning

confidence: 99%

Evaluation and ranking of different interventions for pain relief during outpatient hysteroscopy: A systematic review and network meta‐analysis

Ghamry

Samy

Abdelhakim

et al. 2020

J of Obstet and Gynaecol

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“…Hysteroscopy is an established endoscopic surgical procedure in obstetrics and gynecology practice for diagnosis and management of endometrial problems, with advantages of fewer complications, shorter recovery time and lower costs [ 23 , 24 ]. However, pain is the most common complication of hysteroscopy because of several procedures such as cervical dilatation, uterine distension and peritoneal irritation [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

A small dose of dezocine suppresses remifentanil-induced cough in general anesthesia induction: a prospective, randomized, controlled study

2020

BMC Anesthesiol

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Background The aim of this prospective randomized controlled study was to evaluate whether pretreatment with a small dose of dezocine could prevent remifentanil-induced cough in general anesthesia induction. Trial design a prospective, randomized, controlled study. Methods A total of 210 patients receiving elective operative hysteroscopy from December 2018 to April 2019 were enrolled in the present study. They were randomly equally separated into dezocine group (n = 105) and control group (n = 105). Patients were intravenously pre-administrated with dezocine 0.03 mg/kg (diluted to 5 mL) or the same volume of normal saline 1 min prior to remifentanil infusion. One minute later, intravenous injection of propofol 1.5 mg/kg and cisatracurium 0.1 mg/kg were given to all patients for induction of general anesthesia. The counts of coughs occurred during the anesthesia induction period were recorded and the severity of cough was scaled. Results There were 7 cases of mild cough in dezocine group and 18 cases of mild cough, 12 cases of moderate cough and 4 cases of severe cough in control group. The incidence rate of cough was significantly lower and the severity of cough was obviously relieved in dezocine group compared to control group (6.67% vs. 32.38%, P < 0.001). The two groups were not significantly different in heart rate and mean arterial pressure before the induction, before and after the intubation, and in operating time and postoperative visual analog scale pain scores. Conclusion This study recommends the efficacy and safety of a pretreatment with a small dose of dezocine in reducing remifentanil-induced cough during general anesthesia. Trial Registration ChiCTR2000032035. Date of registration: Retrospectively registered on 2020/04/18.

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Is outpatient hysteroscopy the new gold standard? Results from an 11 year prospective observational study

Cited by 38 publications

References 19 publications

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization

Evaluation and ranking of different interventions for pain relief during outpatient hysteroscopy: A systematic review and network meta‐analysis

A small dose of dezocine suppresses remifentanil-induced cough in general anesthesia induction: a prospective, randomized, controlled study

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