The effects of diagnostic hysteroscopy on the reproductive outcomes of infertile women without intrauterine pathologies: a systematic review and meta-analysis

Yang, Soo Yeon; Lee, Seon Heui

doi:10.4069/kjwhn.2020.12.13

Cited by 6 publications

(2 citation statements)

References 50 publications

(251 reference statements)

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“…Complications rates of diagnostic hysteroscopy are as low as 0.012% [ 13 ]. The mean prevalence of uterine malformation in the general population and the population of fertile women is approximately 3.5%, in infertile patients approximately 5.2% and in patients with recurrent pregnancy losses approximately 13% [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study to Evaluate the Role of Combined Diagnostic Laparoscopy and Hysteroscopy in the Management of Female Infertility

Sharma,

Jhanwar,

Kumari

et al. 2024

Cureus

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Introduction Infertility affects approximately 10-15% of couples worldwide. Hysteroscopy and laparoscopy are two newer modalities available for the evaluation of infertility and are complementary rather than mutually exclusive. Each provides useful information that the other may not have and each has its advantages. Materials and methods A total of 75 patients of female infertility (study group) in the age group of 18-40 years from the Outpatient Department (OPD) were recruited. Infertility was defined as one year of unprotected intercourse without pregnancy. Hysteroscopy and laparoscopy were carried out in each patient at the follicular phase of the menstrual cycle. Hysteroscopic findings were compared with laparoscopic findings for uterine and tubal pathology. Hysteroscopy as a procedure was also compared with laparoscopy as a one-step procedure for diagnostic accuracy in investigating a case of female infertility. The data was analyzed by Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 29.0, Armonk, NY). Observations and results In our study, out of a total of 75 cases evaluated for infertility, primary infertility patients were 48 (64%) and secondary infertility patients were 27 (36%). In our study, both tubes were patent on chromopertubation in primary infertility (PI) vs secondary infertility (SI) in 49.33% vs 21.33% of total cases. Both tubes were blocked in PI vs SI in 9.33% vs 8% of total cases. In our study, 20 patients (26.66%) underwent hysteroscopic intervention. Adhesiolysis was the commonest procedure required in seven (9.33%) followed by hysteroscopic cannulation in six (8%). In our study, a total of 30 procedures were performed in 20 patients during laparoscopy. The most common procedure required was ovarian drilling in 22.66% (17/75) followed by surgery for endometriosis in 10.66% (8/75). Adhesiolysis was required in 5/75 (6.66%). Both laparoscopy and hysteroscopy were normal in 44/75 cases for uterine findings. Conclusion Thus, hysterolaparoscopy as “one step” had various advantages in our study, more accuracy in the findings and therapeutic intervention in the same sitting reducing the cost. The addition of hysteroscopy to laparoscopy is invaluable in the infertility workup as it has a definite edge in the detection of uterine pathology, as well as being therapeutic at the same time. More accuracy in the diagnostic findings and therapeutic intervention in the same setting will help in reducing the time and cost of treatment.

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Section: Discussionmentioning

confidence: 99%

A Prospective Study to Evaluate the Role of Combined Diagnostic Laparoscopy and Hysteroscopy in the Management of Female Infertility

Sharma,

Jhanwar,

Kumari

et al. 2024

Cureus

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“…The researcher developed this questionnaire after a review of literature (Yang et al 2020) in order to assess maternity nurses' knowledge and practice regarding the care of women undergoing hysteroscopy. Data was collected using two instruments.…”

Section: Instrumentsmentioning

confidence: 99%

Assessment of Nurses' Knowledge and Practice Regarding Care of Women Undergoing Hysteroscopy

Ali,

Eshra,

Mohamed

2023

Menoufia Nursing Journal

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Background: Hysteroscopy visualization of endometrial cavity has revolutionized the detection and management of the endometrial pathologies over the last few decades.Purpose of the study was to assess maternity nurses' knowledge and practice regarding care of women undergoing hysteroscopy. Design: A descriptive design was used.Setting: Obstetrics and Gynecological department in Menoufia University hospitals. Sample: A convenient sample containing 45 nurses caring for women undergoing hysteroscopy. Instruments: Knowledge of nurse structured questionnaire and nurses' performance observational checklist were used. Results: Approximately 2.2% of nurses had good knowledge about definition, indications, suitable time, complications, time needed for diagnosis, and time needed for therapeutic or surgical treatment of hysteroscopy. Also, the majority of nurses had low level of practice related to pre, intra, and post-operative preparation for women undergoing hysteroscopy. Conclusion: Nurses had poor knowledge score and low practice level regarding nursing care provided for women undergoing hysteroscopy procedure. Recommendation: Continuous teaching programs related to pre and postoperative care of women having hysteroscopy are required for nurses to develop and improve their knowledge and practice.

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Directive clinique no 446 : Chirurgie hystéroscopique dans les traitements de fertilité

Motan,

Cockwell,

Elliott

et al. 2024

Journal of Obstetrics and Gynaecology Canada

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The effects of diagnostic hysteroscopy on the reproductive outcomes of infertile women without intrauterine pathologies: a systematic review and meta-analysis

Cited by 6 publications

References 50 publications

A Prospective Study to Evaluate the Role of Combined Diagnostic Laparoscopy and Hysteroscopy in the Management of Female Infertility

A Prospective Study to Evaluate the Role of Combined Diagnostic Laparoscopy and Hysteroscopy in the Management of Female Infertility

Assessment of Nurses' Knowledge and Practice Regarding Care of Women Undergoing Hysteroscopy

Directive clinique no 446 : Chirurgie hystéroscopique dans les traitements de fertilité

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