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The use of Bettocchi type hysteroscope in office hysteroscopy

Year 2014, Volume: 39 Issue: 4, 0 - , 22.07.2014
https://doi.org/10.17826/cutf.08361

Abstract

Aim: To evaluate clinical characteristics of 264 patients whom underwent 5 mm Bettocchi office hysteroscopy due to abnormal uterine bleeding, postmenapausal bleeding, infertility and measure diagnostic of transvaginal ultrasonography and successful rate and patient acceptance in office hysteroscopy. Methods: A retrospective cohort study on office hysteroscopy was performed. The medical records and patient files were detected in Bakırköy Dr. Sadi Konuk Research and Educational Hospital between January 2012 and May. The data was analizied in computerised database with IBM SPSS Statistics 21.0 programme. Results: Endometrial polyp was found to be the most frequent pathology in patients whom underwent office hysteroscopy. The rate was 50.8 %. The endometrial polyp and myoma sensitivity of office hysteroscopy were found 97.0 % and 83.9 % respectively. The duration of operation was 4.83 minutes. Only 1 out of 264 cases was a marked discomfort. The complication rate of procedures is 0.4 % and due to one perforation of uterus. Conclusion: Office hysteroscopy is a successful and well-tolerated procedure. Through adequate expertise, it should be considered the method of choice at the same time when exploration of the uterine cavity is needed.

References

  • Jansen FW, Van Dongen H. Hysteroscopy: Useful in diagnosis and surgical treatment of intrauterine lesions. Ned Tijdschr Geneeskd. 2008;152:1961-6.
  • Birinyi L, Daragó P, Török P, et al. Predictive value of hysteroscopic examination in intrauterine abnormalities. Eur J Obstet Gynecol Reprod Biol. 2004;115:75-9.
  • Bettocchi S, Ceci O, Di Venere R et al. Advanced operative office hysteroscopy without anesthesia: analysis of 501 cases treated with a 5 fr. bipolar electrode. Hum Reprod. 2002;17:2435-8.
  • Siristatidis C, Chrealis C, Salamalekis G, Kassanos D. Office hysteroscopy: current trends and potential applications: a critical review. Arch Gynecol Obstet. 2010;282:383-8.
  • Wieser F, Tempfer C, Kurtz C, Naegele F. Hysteroscopy in 2001: a comprehensive review. Acta Obstet Gynecol Scand. 2001;80:773-83.
  • Siristatidis C, Chrealis C. Feasibility of office hysteroscopy through the ‘ see and treat technique’ in private practice: a prospective observational study. Arch Gynecol Obstet. 2011;283:819-23.
  • Dealberti D, Riboni F, Prigione S, Pisoni C, Rovetta E, Montella F, Garuti G. New mini resectoscope, analysis of preliminary results in outpatient hysteroscopic polypectomy. Arch Gynecol Obstet. 2013;288:349-53.
  • Török P, Major T. Evaluating the level of pain during Office hysteroscopy according to menopausal status, parity, and size of instruments. Arch Gynecol Obstet. 2013;287;985-88.
  • Vercellini P, Cortesi I, Oldani S. The role of transvaginal ultrasonography and outpatient diagnostic hysteroscopy in the evaluation of patients with menorrhagia. HumReprod 1997;12:1768-71.
  • Gupta JK, Wilson S, Desai P. How should we investigate women with postmenopozal bleeding? Acta Obstetricia et Gynecologica Scandinavica. 1996;75:475-9.
  • Cicinelli E, Parisi C,Galantino P et al. Reliability, feasibility, and safety of minihysteroscopy with a vaginal approach: experience with 6000 cases. Fertil Steril. 2003;80:199-202.
  • Bettocchi S, Selvaggi L. A vaginoscopic approach to reduce the pain of Office hysteroscopy. J Am Assoc Gynecol Laparosc. 1997;4:255-8.
  • Romani F, Guido M, Morciano A, Martinez D, Gaglione R, Lanzone A, Selvaggi L. The use of different size-hysteroscopy: our experience. Arch Gynecol Obstet. 2013;13:2932-7.
  • Farquhar C,Ekeroma A, Furness S, Arrol B: A systematic review of transvaginal ultrasonography, sonohysterography and hysteroscopy for the investigation of abnormal uterine bleedeng in premenopausal women. Acta Obstet Gynecol Scand. 2003;82:493-504.
  • Pluchino N, Ninni F, Angioni S, Artini P, Araujo VG, Massimetti G, Genazzani AR, Cela V. Office vaginoscopic hysteroscopy in infertile women: effects of gynecologist experience, instrument size, and distention medium on patient discomfort. J Minim Invasive Gynecol. 2010;17:344-50.
  • Yazışma Adresi / Address for Correspondence: Dr. Şükrü Yıldız Bakırköy Dr. Sadi Konuk Eğitim ve Araştıma Hastanesi Kadın Hastalıkları ve Doğum Kliniği İSTANBUL E-mail: dr.sukruyildiz@hotmail.com G eliş tarihi/Received on : 20.04.2014
  • Kabul tarihi/Accepted on: 23.05.2014

Uterin kavite değerlendirilmesinde Bettocchi tip ofis histeroskopi

Year 2014, Volume: 39 Issue: 4, 0 - , 22.07.2014
https://doi.org/10.17826/cutf.08361

Abstract

Amaç: Anormal uterin kanama, postmenopozal kanama, infertilite ve endometrial kalınlık artışı nedenli başvuran ve 5 mm Bettocchi ofis histeroskopi yapılan 264 hastanın klinik özellikleri, ofis histeroskopinin başarılı diagnostik değeri ve hasta toleransının değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Araştırma retrospektif kohort çalışması olarak düzenlenmiştir. Ofis histeroskopi yapılan hastaların medikal özgeçmişleri ve hasta dosyaları Ocak 2012 ile Mayıs 2013 tarihleri arasında Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi arşivinden elde edilmiştir. Elde edilen veriler bilgisayar ortamında IBM SPSS Statistics 21.0 programı kullanılarak analiz edilmiştir. Bulgular: Ofis histeroskopi yapılan hastalarda en sık histopatolojik tanı % 50,8 oranı ile endometrial polip olarak saptanmıştır. Endometrial polip ve myomun ofis histeroskopi sensitivitesi sırası ile % 97,0 ve % 83,9 olarak saptanmıştır. Ortalama operasyon süresi 4,83 dakika olarak saptanmıştır. 264 olgu içerisinde sadece 1 (% 0,4) hasta operasyonu tolere edememiştir ve sadece 1 (% 0,4) hastada perforasyon nedenli komplikasyon gelişmiştir. Sonuçlar: Ofis histeroskopi oldukça başarılı ve iyi tolere edilebilen bir prosedürdür. Yeterli tecrübe sahibi kliniklerde uterin kavite değerlendirilmesini gerektiren durumlarda tanı seçenekleri arasında öncelikle göz önünde bulundurulmalıdır.

References

  • Jansen FW, Van Dongen H. Hysteroscopy: Useful in diagnosis and surgical treatment of intrauterine lesions. Ned Tijdschr Geneeskd. 2008;152:1961-6.
  • Birinyi L, Daragó P, Török P, et al. Predictive value of hysteroscopic examination in intrauterine abnormalities. Eur J Obstet Gynecol Reprod Biol. 2004;115:75-9.
  • Bettocchi S, Ceci O, Di Venere R et al. Advanced operative office hysteroscopy without anesthesia: analysis of 501 cases treated with a 5 fr. bipolar electrode. Hum Reprod. 2002;17:2435-8.
  • Siristatidis C, Chrealis C, Salamalekis G, Kassanos D. Office hysteroscopy: current trends and potential applications: a critical review. Arch Gynecol Obstet. 2010;282:383-8.
  • Wieser F, Tempfer C, Kurtz C, Naegele F. Hysteroscopy in 2001: a comprehensive review. Acta Obstet Gynecol Scand. 2001;80:773-83.
  • Siristatidis C, Chrealis C. Feasibility of office hysteroscopy through the ‘ see and treat technique’ in private practice: a prospective observational study. Arch Gynecol Obstet. 2011;283:819-23.
  • Dealberti D, Riboni F, Prigione S, Pisoni C, Rovetta E, Montella F, Garuti G. New mini resectoscope, analysis of preliminary results in outpatient hysteroscopic polypectomy. Arch Gynecol Obstet. 2013;288:349-53.
  • Török P, Major T. Evaluating the level of pain during Office hysteroscopy according to menopausal status, parity, and size of instruments. Arch Gynecol Obstet. 2013;287;985-88.
  • Vercellini P, Cortesi I, Oldani S. The role of transvaginal ultrasonography and outpatient diagnostic hysteroscopy in the evaluation of patients with menorrhagia. HumReprod 1997;12:1768-71.
  • Gupta JK, Wilson S, Desai P. How should we investigate women with postmenopozal bleeding? Acta Obstetricia et Gynecologica Scandinavica. 1996;75:475-9.
  • Cicinelli E, Parisi C,Galantino P et al. Reliability, feasibility, and safety of minihysteroscopy with a vaginal approach: experience with 6000 cases. Fertil Steril. 2003;80:199-202.
  • Bettocchi S, Selvaggi L. A vaginoscopic approach to reduce the pain of Office hysteroscopy. J Am Assoc Gynecol Laparosc. 1997;4:255-8.
  • Romani F, Guido M, Morciano A, Martinez D, Gaglione R, Lanzone A, Selvaggi L. The use of different size-hysteroscopy: our experience. Arch Gynecol Obstet. 2013;13:2932-7.
  • Farquhar C,Ekeroma A, Furness S, Arrol B: A systematic review of transvaginal ultrasonography, sonohysterography and hysteroscopy for the investigation of abnormal uterine bleedeng in premenopausal women. Acta Obstet Gynecol Scand. 2003;82:493-504.
  • Pluchino N, Ninni F, Angioni S, Artini P, Araujo VG, Massimetti G, Genazzani AR, Cela V. Office vaginoscopic hysteroscopy in infertile women: effects of gynecologist experience, instrument size, and distention medium on patient discomfort. J Minim Invasive Gynecol. 2010;17:344-50.
  • Yazışma Adresi / Address for Correspondence: Dr. Şükrü Yıldız Bakırköy Dr. Sadi Konuk Eğitim ve Araştıma Hastanesi Kadın Hastalıkları ve Doğum Kliniği İSTANBUL E-mail: dr.sukruyildiz@hotmail.com G eliş tarihi/Received on : 20.04.2014
  • Kabul tarihi/Accepted on: 23.05.2014
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Şükrü Yıldız This is me

Murat Ekin This is me

Hüseyin Cengiz This is me

Ali Yeşil

Yağmur Yücebaş Yıldız This is me

Publication Date July 22, 2014
Published in Issue Year 2014 Volume: 39 Issue: 4

Cite

MLA Yıldız, Şükrü et al. “Uterin Kavite değerlendirilmesinde Bettocchi Tip Ofis Histeroskopi”. Cukurova Medical Journal, vol. 39, no. 4, 2014, doi:10.17826/cutf.08361.