Operative Hysteroscopy: Experience in a Teaching Hospital

Yıl 2013, Cilt: 18 Sayı: 1, 11 - 14, 01.02.2013

Hüseyin Cengiz Murat Ekin Cihan Kaya Can Keven Gül Özel İşık Kaban Levent Yaşar

Öz

Objective: The objective of this study was to determine the indications, success, and complications of operative hysteroscopy performed at a teaching hospital Materials and Methods: A two-year retrospective cohort study was done of women undergoing operative hysteroscopy at Bakırkoy Dr Sadi Konuk Teaching and Research Hospital from January 2010 to January 2012. Results: 120 patients were included in the study. The mean age of patients undergoing operative hysteroscopy was 44.33 years. The most common indication for operative hysteroscopy was endometrial polyp. There were four procedure-related complications. Conclusion: Hysteroscopy is a safe and effective minimally invasive procedure with a low rate of complications.

Anahtar Kelimeler

Endometrial polyp, Hysteroscopy, Saline-infusion-sonography, Transvaginal-ultrasonography

Operatif Histeroskopi: Bir Eğitim Hastanesinin Deneyimi

Öz

Amaç: Bu çalışmanın amacı, bir eğitim hastanesinde gerçekleştirilen operatif histeroskopilerin endikasyonları, başarı ve komplikasyonlarını tespit etmektir. Gereç ve Yöntem: Ocak 2010-Ocak 2012 tarihleri arasında Bakırköy Dr Sadi Konuk Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde operatif histeroskopi yapılmıs 120 olgunun retrospektif kohort çalışması yapıldı. Bulgular: Araştırmaya 120 hasta dahil edildi. Hastaların ortalama yaşı 44.33'dü. Operatif histeroskopi için en sık karşılaştığımız endikasyon endometrial polipti. İşlemle ilişkili olarak 4 olguda komplikasyon gelişti. Sonuç: Histeroskopi güvenli ve efektif, komplikasyon oranları düşük minimal invaziv bir prosedürdür.

Anahtar Kelimeler

Endometriyal polip, Histeroskopi, Salin-infuzyon-sonografi, Transvaginal-ultrasonografi

Kaynakça

• Visnovsky J, Zubor P, Galo S, Klobusiaková D, Fiolka R, Kajo K. Validity of hysteroscopy in clinical setting: single centre analysis of 605 consecutive hysteroscopies. Ceska Gynekol 2008; 73: 365-9.
• 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.
• Jansen FW, Vredevoogd CB, van Ulzen K, Hermans J, Trimbos JB, Trimbos-Kemper TC. Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol 2000; 96: 266-70.
• Mencaglia L, Perino MD. Diagnostic hysteroscopy today. Acta Eur Fertil 1986; 17: 431–9.
• Word G, Grawlee LC, Widemann GL. The fallacy of simple uterine curettage. Obstet Gynecol 1958; 12: 642–6. Grimes DA. Diagnostic dilatation and curettage: a reappraisal. Obstet Gynecol 1982; 3: 1–5.
• Waggish MS, Barbet J, Valle MR. Operative hysteroscopy. In: Waggish MS, Barbet J, Valle RF, editors. Diagnostic and operative hysteroscopy: a text and atlas. Chicago: Year Book Medical Publishers, 1989; 163–78.
• Sowter MC, Singla AA, Lethaby A. Pre-operative endometrial thinning agents before hysteroscopic surgery for heavy menstrual bleeding. Cochrane Database Syst Rev 2000; 2: CD001124.
• Lindemann HJ, Gallinat A. Physikalische und physiologische grundlagen der CO 2 hysteroskopie. Geburtshilfe Frauenheilkd 1976; 36: 729-37.
• Munro MG. Complications of hysteroscopic and uterine resectoscopic surgery. Obstet Gynecol Clin North Am 2010; 37: 399–425.
• Cayuela E, Cos R, Onbargi L, et al. Complications of operative hysteroscopy. J Am Assoc Gynecol Laparosc 1996; 3: