„See and Treat“ Hysteroscopy: Limits of Intrauterine Pathology Bulk
Kužel D.1, Tóth D.2, Hrazdírová L.1, Mára M.1, Fučíková Z.1
1Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc. 2Clinique St. Germain, Brive la Gaillarde, France |
|
Summary:
Objective: To evaluate bulk limits of intrauterine pathology for „see and treat“ hysteroscopy.
Type of study: A retrospective observational study.
Setting: Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague
and General Teaching Hospital Prague.
Methods: 200 mg of Indomethacin was administered to the patients by rectum 2 hours before procedure.
„See and treat“ procedures were performed with „Versascope“ in awake patients without any peroperatively
admistered analgesia or anaesthesia. As a „see and treat“ were managed 796 endometrial polyps,
125 submucous myomas, as well as 62 cases of intrauterine synechias.
Conclusions: endometrial polyps up to 1,5 cm, pedunculated submucous myomas up to 1,0 cm as well as
fibroid adhesiones obliterated no more than 1/3 of uterine cavity can be managed as „see and treat“ procedures
with a high compliance of the patients.
Key words:
office hysteroscopy, vaginoscopic approach, endometrial biopsy, endometrial polyp, submucous
myoma, intrauteine adhesions
|