Morales-Velázquez MC, Olguín OAA, Rojas-Poceros G, Bustos-López HH

Language: Spanish
References: 15
Page: 170-174
PDF size: 97.03 Kb.

ABSTRACT

Objectives: To know the most frequent gynecological pathology observed by hysteroscopy in the ABC Medical Center. To analyze the indications for hysteroscopy, its correlations, discoveries and pathological complications. Material and methods: The study is retrospective, traverse, descriptive, and observational. Files were revised from July 1997 to June 2004 in patients that had hysteroscopy, for a total of 252 procedures. Observed variables were the age of the patient, preoperative diagnosis, hysteroscopic discoveries, and cytopatology. Also analyzed were length of hospitalization and complications. Results: Of 252 procedures 32.9% corresponded to the age group from 30-34 years, with a range of from 16-72 years. Most common preoperative diagnosis was from secondary abnormal uterine bleeding to endometrial polyposis (35.7%). A total of seven (2.77%) complications were observed. Conclusions: Hysteroscopy is an indispensable tool for diagnosis and treatment for a wide range of gynecological pathologies. It is a tool of necessity for daily work for the medical gynecological obstetrician.

REFERENCES

1. Rock JA, Thompson JD. Ginecología quirúrgica de Te Linde. 8a ed. México: Editorial Médica Panamericana, 1996.

2. Magos A, Chapmann L. Hysteroscopic tubal sterilization. Clin Obst Gynecol 2004; 31: 3.

3. A. Laffont, F. Durieux. Encyclopédie Médico-Chirurgicale. Paris (Francia): Elsevier, 2000.

4. Cooper JM, Brady RM. Contemporary management of abnormal uterine bleeding. Intraoperative and early postoperative complications of operative hysteroscopy. Clin Obstet Gynecol 2000; 27: 2.

5. Isaacson KB. Gynecologic operative endoscopy. Complications of hysteroscopy. Clin Obstet Gynecol 1999; 26: 39-51.

6. Valle RF. Office hysteroscopy. Clin Obstet Gynecol 1999; 42: 276-289.

7. Donnez J, Nisolle M, Clerckx F. Hysteroscopic myomectomy. An Atlas of Laser Laparoscopy and Hysteroscopy. New York: Parthenon Publishing, 2001; 483-493.

8. Marwah V, Bhandari SK. Diagnostic and interventional microhysteroscopy with use of the coaxial bipolar electrode system. Fertil Steril 2003; 79: 413-417.

9. Molina P. Ablación endometrial con balón térmico uterino Thermachoice. Experiencia en 30 pacientes de 1998 a 2003. Hospital ABC. Tesis para obtener el título de posgrado en ginecología y obstetricia, 2004. México, D.F. Febrero, 2004.

10. Rojas-Poceros G, Bustos-López HH, Oviedo-Ortega JG, González-Cofrades J, Morales-Velázquez M, Avendaño-Barroeta A, Ibarrola-Buen Abad E. Perspectivas y alcances de la Endoscopia Ginecológica en el Hospital ABC: Revisión de 10 años. Perinatol Reprod Hum 2001; 15: 229-227.

11. Quiñones R, Alvarado A, Ley E. Hysteroscopic Sterilization. Int J Gynaecol Obstet 1976; 14: 27-24.

12. Cooper JM, Carignan ChS, Cher D, Kerin JF. Microinsert nonincisional hysteroscopic sterilization. Obstet Gynecol 2003; 102: 59-67.

13. Stotz M, Lampart A, Kochli OR, Schneider M. Intraabdominal bleeding masked by hemodilution after hysteroscopy. Anesthesiology 2000; 93: 2.

14. Propst AM, Liberman RF, Harlow BL, Ginsburg ES. Complications of hysteroscopic surgery: Predicting Patients at Risk. Obstet Gynecol 2000; 96: 517-520.

15. Jansen FW, Vredevoogd CB, Ulzen KV, Hermans J, Trimbos JB, Trimbos-Kemper TCM. Complications of hysteroscopy: A prospective, multicenter study. Obstet Gynecol 2000; 96: 266-270.