The Role of Operative Hysteroscopy in theManagement of Intrauterine Pathologies:Method of First Choice

Czech version

Authors: D. Tóth; D. Kužel; Z. Fučíková; D. Cibula; J. Živný
Authors‘ workplace: Gynek. -porod. klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Živný, DrSc.
Published in: Ceska Gynekol 1999; (4): 234-238
Category:

Overview

Objective:
To demonstrate the possibilities of hysteroscopic procedures and transcervical surgeryin the management of intrauterine pathology.Design: retrospective study.Setting: Department of Obstetrics and Gynecology, 1st Faculty of General Medicine and GeneralFaculty Hospital, Prague, Apolinářská 18, Czech Republic.Methods: Retrospective analysis of hysteroscopic procedures.Results: In the period 1994 - 1998 we performed 1410 hysteroscopic procedures. We registered anincrease of operative hysteroscopic procedures - from 6.8 % in 1995 to 24.5 % in 1998.We registered 4 perioperative complications - in 1 case „fluid overload syndrome“, in 2 casesperforation of the posterior vaginal fornix during dilatation of the cervix after its conisation andin 1 case perforation of the anterior uterine wall. These complications were not treated by anyfurther major surgical intervention.In 91.3% we were able to solve the intrauterine pathology immediately in a one-step hysteroscopicprocedure.Conclusions: Our results are positive and demonstrate the role and advantages of operativehysteroscopy in the management of intrauterine pathology.

Key words:
hysteroscopy, operations, hysteroscopic resection, transcervical surgery

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