Use of carbon dioxide versus normal saline for diagnostic hysteroscopy

Brusco, Gian Francesco; Arena, Saverio; Angelini, Antonio

doi:10.1016/s0015-0282(02)04947-6

Cited by 43 publications

(28 citation statements)

References 8 publications

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“…Nevertheless, some conditions, such as nulliparity and/or menopause, may require cervical dilation (3,7). Although the use of saline solution as distension medium has been preferred to carbon dioxide by some authors (8,9), other authors (10,11) observed similar discomfort with the use of one or the other. Misoprostol and mifepristone are effective in cervical ripening, but their use causes more severe pain and discomfort, without any advantage in terms of quality of visualization (12)(13)(14).…”

mentioning

confidence: 99%

Efficacy of intravenous tramadol treatment for reducing pain during office diagnostic hysteroscopy

Floris

Piras

Orrù

et al. 2007

Fertility and Sterility

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mentioning

confidence: 99%

Efficacy of intravenous tramadol treatment for reducing pain during office diagnostic hysteroscopy

Floris

Piras

Orrù

et al. 2007

Fertility and Sterility

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“…Comparing normal saline with CO 2 as distending media resulted in similar pain during the procedure with less postoperative discomfort or bowel irritation with normal saline [20]. In addition, CO 2 costs substantially more than normal saline [21].…”

Section: Discussionmentioning

confidence: 89%

National inpatient diagnostic hysteroscopy survey

Tawfeek

Scott

2009

Gynecol Surg

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This survey was undertaken to determine the common practise patterns of how hysteroscopy is carried out in the UK. We believe this will help to develop a consensus and set national guidelines in accordance with the way we undertake this procedure. In addition; we aim to assess the operators understanding of hysteroscope optics related to this procedure. The study was conducted in a teaching hospital in the southwest of England, UK. Postal questionnaires were sent within the first week of June 2007 to 1,000 consultant gynaecologists in the UK. The surveyed gynaecologists were selected from the Royal college of Obstetricians and Gynaecologists (RCOG) register of Fellows and Members. The questionnaire included questions regarding common preoperative preparation, operative techniques, post-operative management, and follow-up. Four hundred seventy-five (47.5%) responses were returned. Four hundred forty (44%) consultant gynaecologists completed the survey and 35 (3.5%) incomplete questionnaires were returned by consultants who currently do not undertake hysteroscopy. It appears that there is some consensus in with the way we undertake this procedure. However, the results showed a wide variation in the understanding of the hysteroscopes angled optics and how this relates to surgical technique for inpatient hysteroscopy. It seems that setting up a national guideline is feasible. However, there was a clear lack of understanding of the optics used during a hysteroscopic procedure between gynaecologists. Optics-related surgical techniques should be included into training programmes. Professional societies are able to develop a general consensus for this procedure. We are pleased that the practical skills courses run by the RCOG include clear training in this area.

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“…Carbon dioxide was associated with higher level of pain during and after the procedure than normal saline. 11 Further study is required to find out the best method in reducing pain in outpatient hysteroscopy and endometrial sampling. j …”

Section: Discussionmentioning

confidence: 99%

General gynaecology: Intrauterine lignocaine as an anaesthetic during endometrial sampling: a randomised double‐blind controlled trial

Hui¹,

Lee²,

Ong³

et al. 2005

BJOG

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Objective To evaluate the effectiveness of intrauterine lignocaine as an anaesthetic during endometrial sampling.Design Prospective, randomised, double-blind, placebo-controlled trial.Setting Outpatient gynaecological minor operation unit in a public hospital.Population Two hundred premenopausal women scheduled for endometrial sampling because of abnormal uterine bleeding.Methods Transcervical intrauterine instillation of 5 mL of 2% lignocaine or 5 mL of normal saline before performing endometrial sampling with vacuum aspirator.Main outcome measures Evaluation of pain associated with the procedure using a visual analogue scale.Results The use of intrauterine lignocaine reduced pain during suction curettage in endometrial sampling.Conclusions Transcervical instillation of lignocaine reduced pain during endometrial sampling.

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Use of carbon dioxide versus normal saline for diagnostic hysteroscopy

Cited by 43 publications

References 8 publications

Efficacy of intravenous tramadol treatment for reducing pain during office diagnostic hysteroscopy

Efficacy of intravenous tramadol treatment for reducing pain during office diagnostic hysteroscopy

National inpatient diagnostic hysteroscopy survey

General gynaecology: Intrauterine lignocaine as an anaesthetic during endometrial sampling: a randomised double‐blind controlled trial

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