World Journal of Laparoscopic Surgery

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VOLUME 2 , ISSUE 2 ( May-August, 2009 ) > List of Articles


A 3 Years Review of Hysteroscopy in a Private Hospital in Nigeria

JE Okohue, SO Onuh, GO Akaba, I Shaibu, I Wada, JI Ikimalo

Citation Information : Okohue J, Onuh S, Akaba G, Shaibu I, Wada I, Ikimalo J. A 3 Years Review of Hysteroscopy in a Private Hospital in Nigeria. World J Lap Surg 2009; 2 (2):26-29.

DOI: 10.5005/jp-journals-10007-1021

Published Online: 01-12-2011

Copyright Statement:  Copyright © 2009; The Author(s).



Hysteroscopy is a valuable tool in the evaluation and treatment of infertility and many other gynecological procedures. Its use has relegated blind procedures for the investigation and treatment of endometrial pathologies and in some instances obviates the need for open surgeries. Unfortunately the equipment is only available in a few private hospitals in Nigeria.


To describe our experience with hysteroscopy in a private hospital setting in Nigeria.

Material and methods

Retrospective reviews of all cases of hysteroscopy done between January 2003 and December 2005 at Nisa Premier Hospital (Nordica Fertility Centre), a dedicated fertility center in Abuja, Nigeria was carried out. Relevant information was extracted from the patients’ case notes and theater records. The hysteroscopic procedures were carried out during the proliferative phase of the patients’ menstrual cycle. All but nine patients had paracervical block with xylocaine in addition to intravenous pentazocine and promethazine for pain relieve. Normal saline was used as distention medium.


A total of 87 hysteroscopies were carried out during the period under review. Eighty-five patients (97.7%) presented with infertility. Forty four patients (48.3%) had single pathology while 23 (26.4%) had multiple pathologies. The commonest pathology was intrauterine adhesions (64.2%). There were 3 cases (3.5%) of retained fetal bones within the endometrial cavity. Sixty-four (73.6%) patients underwent hysteroscopic surgical procedures. The commonest surgical procedure performed was intrauterine adhesiolysis (67.2%), followed by polypectomy (35.9%). One complication occurred during the study period (anesthetic).


Hysteroscopy is a valuable tool in the assessment of the uterine cavity. The equipments and skills are however presently lacking in Nigeria.

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  1. Cutting the risk of hysteroscopic complications. Obg management 2004;16(1):1-12.
  2. Flexible hysteroscopy a state-of-theart procedure for gynaecologic evaluation. J Am Assoc Gynaecol Laparosc 1995;2:263-67.
  3. Complications of hysteroscopy: A prospective, multicentre study. Obstet Gynaecol 2000;96:517-20.
  4. Hysteroscopic surgery: Complications and their prevention. Contrb Gynaecol Obstet 2000;20:161-70.
  5. Hysteroscopy in the evaluation of female infertility. Am J Obstet Gynaecol 1980 June 15;137(4):425-31.
  6. Hysteroscopic surgery at the Aga Khan Hospital, Nairobi. East Afr Med J 2004;81(7):336-40.
  7. Pattern of tubal pathology in infertile women on hysterosalpingography in Illorin Nigeria. Annals of African Medicine 2004;3(2):77-79.
  8. Hysteroscopy as an aid to diagnosis in female infertility. Clin Obstet Gynaecol 1983;26(2):302-12.
  9. Fertility enhancing hysteroscopic surgery: Our experience. MJAFI 2003;59:29-31.
  10. A comparison of two adjunctive treatments for intrauterine adhesions following lysis. Int J Gynecol Obstet 2003;82:49-56.
  11. Prolonged retention of intrauterine bones. Obstet Gynecol 1991;78:919-20.
  12. Prolonged retention of fetal bone after abortion causing infertility. Am J Obstet and Gynecol 1982;143:715-18.
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