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2010, Number 2

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Rev Mex Med Repro 2010; 2.3 (2)

Histeroscopic findings in 70 procedures done in a course of office-hysteroscopy

Salazar LOCG, Saad GA, Alanís FJ, Gálvez MJ
Full text How to cite this article

Language: Spanish
References: 4
Page: 73-77
PDF size: 123.61 Kb.


Key words:

office-hysteroscopy, course.

ABSTRACT

Objective: To show the advantages of office-hysteroscopy, to report the experience acquired in the office-hysteroscopy course and to review the bibliography related to criteria that will make possible the adequate training of the future hysteroscopist surgeons.
Material and method: Office-hysteroscopies during the theoretical-practical course of hysteroscopy were included; in the course, developed in 14 Saturday sessions of eight hours each, 70 hysteroscopies were done in previously selected patients, who entered to the office with an 8-hours-fasting; hysteroscopies were done with a Storz® telescope –with external diameter of 2.9 mm, with xenon light source and with digital endo-camera Storz® of three chips–, with an operatory type Bettocchi® and a physiological solution. In 45 cases, hysteroscopy was done without anesthesia and in 25 hysteroscopy was done with endovenous anesthesia, with ventilatory support and with vital signs monitoring; in all cases, illnesses were relieved efficaciously.
Results: Out of the 70 hysteroscopies done, 24 endometrial polyps were resected, 14 diagnostic hysteroscopies were done, seven Essure® device were placed, six myomas were removed, five intrauterine devices were removed, four uterine malformations were found, three Asherman syndromes and three cervix stenosis were diagnosed, two endometrial ablations were done, an endometrial adenocarcinoma was found and there was a special case.
Conclusions: One of the advantages of this office-hysteroscopy course is to teach it directly with patients and, in all cases, illnesses were relieved efficaciously.


REFERENCES

  1. Katz V, Lentz G, Lobo R, Gershenson D. Comprehensive gynecology. 5th ed. Philadelphia: Mosby-Elsevier, 2007.

  2. Burchard ER, Lockrow EG, Zahn CM, Dunlow SG, Satin AJ. Simulation training improves resident performance in operative hysteroscopic resection techniques. Am J Obstet Gynecol 2007;197:542.e1-542.e4.

  3. VanBlaricom AL, Goff BA, Chinn M, Icasiano MM, et al. A new curriculum for hysteroscopy training as demonstrated by an objective structured assessment of technical skills (OSATS). Am J Obstet Gynecol 2005;193:1856-1865.

  4. Chapron C, Devroey P, Dubuisson JB, Pouly JL, Vercellini P. ESHRE guidelines for training, accreditation and monitoring in gynaecological endoscopy. European Society for Human Reproduction and Embryology. Committee of Special Interest Group on Reproductive Surgery. Human Reprod 1997;12(4):867-868.




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Rev Mex Med Repro. 2010;2.3