The technique and overview of flexible hysteroscopy

Marsh, Fiona; Duffy, Sean

doi:10.1016/j.ogc.2004.05.008

Cited by 15 publications

(6 citation statements)

References 28 publications

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“…3,9 Our study demonstrated a significant cost savings of $1498 per patient. Our findings may not be extrapolated to other international health care systems.…”

Section: Discussionmentioning

confidence: 68%

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Cost-Effectiveness of Office Hysteroscopy for Abnormal Uterine Bleeding

Moawad

Santamaria

Johnson³

et al. 2014

JSLS

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Background and Objectives:Office diagnostic hysteroscopy allows physicians to directly view the endometrial cavity, tubal ostia, and endocervical canal without taking the patient to the operating room (OR). We sought to determine whether office hysteroscopy performed to evaluate abnormal uterine bleeding decreases the need for hysteroscopy performed in the OR and the associated financial and risk implications.Methods:One hundred thirty patients who underwent office diagnostic hysteroscopy between January 2009 and March 2012 at 2 outpatient clinics in an academic university setting were identified. Records were reviewed from paper charts and electronic medical records. Hospital charts for patients who required hysteroscopy in the OR were reviewed as well. Charge estimates were obtained from our billing department. These results were analyzed for review of the data.Results:Seventy-five of the 130 women who underwent diagnostic office hysteroscopy for abnormal bleeding did not need to undergo hysteroscopy in the OR. This represents estimated savings of $1498 per patient (95% confidence interval, $1051–$1923) in procedure charges. Among the 55 women who underwent OR hysteroscopy, there was 71% agreement between findings on hysteroscopy in the office and in the OR.Conclusion:Office hysteroscopy is a useful diagnostic tool that can help decrease the rate of diagnostic hysteroscopy in the OR under anesthesia when used in a select patient population.

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“…3,9 Our study demonstrated a significant cost savings of $1498 per patient. Our findings may not be extrapolated to other international health care systems.…”

Section: Discussionmentioning

confidence: 68%

“…2 The advent of small-diameter, flexible hysteroscopes has offered another layer of success in assessing abnormal uterine bleeding in the outpatient setting because of its increased tolerability and safety and decreased need for anesthesia compared with the use of rigid hysteroscopes. 3 …”

Section: Introductionmentioning

confidence: 99%

Cost-Effectiveness of Office Hysteroscopy for Abnormal Uterine Bleeding

Moawad

Santamaria

Johnson³

et al. 2014

JSLS

View full text Add to dashboard Cite

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“…Flexible hysteroscopy is accepted as a reliable tool in the investigation of abnormal uterine bleeding [1]. Congenital uterine abnormalities have been described as a cause of failed surgical TOP [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

Flexible hysteroscopic exploration in surgical termination of pregnancy in a patient with uterine abnormality

2007

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Congenital uterine anomalies may cause various reproductive problems, including difficulty performing vaginal surgical termination of pregnancy (TOP). We report the case of a 35-year-old woman with a uterus bicornis bicollis (a double, partially fused uterus with two cervices and a vaginal septum), who was requesting termination of pregnancy following two failed attempts at vacuum aspiration. Flexible hysteroscopy, in combination with transabdominal ultrasound, was used to facilitate the correct passage of the dilators during a successful dilatation and evacuation (D&E) followed by insertion of intra-uterine progestogen-only contraceptive system ('Mirena'). On review of the literature, we found no similar cases reported.

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“…The patient presented with new bleeding 7 days later. Another intervention was performed, for which the same TROPHYscope was used (diameter of 2.9 mm), with the movable outer sheath, an endometrial biopsy, 3,4 and cauterization of the posterior wall of the uterine body performed (Video S2). The histopathological report of the biopsy informed ovoid to spindle cell neoplasm, and no mitosis or atypia was identified.…”

Section: Figurementioning

confidence: 99%