World Journal of Laparoscopic Surgery

Register      Login

VOLUME 7 , ISSUE 3 ( September-December, 2014 ) > List of Articles

RESEARCH ARTICLE

Role of Hysteroscopy in Gynecological Conditions

Prachi Arora, Suman Lata Mendiratta, Meenakshi Mittal, Prabha Kumari

Citation Information : Arora P, Mendiratta SL, Mittal M, Kumari P. Role of Hysteroscopy in Gynecological Conditions. World J Lap Surg 2014; 7 (3):129-132.

DOI: 10.5005/jp-journals-10033-1233

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Hysteroscopy offers a valuable extension of the gynecologist armamentarium, as uterine cavity can be explored in detail for making exact diagnosis. Hysteroscopy can be used for diagnosis as well as management of various gynecological problems. A study was conducted to evaluate the role of hysteroscopy in gynecological conditions.

Materials and methods

A prospective clinical study was conducted in the Department of Gynecology, Hindu Rao Hospital. Total 69 patients with abnormal uterine bleeding attending gynecology outpatient department were selected and subjected to hysteroscopic examination after detail history, examination and consent. Subjects were divided into six groups as per their history and examination.

Observation

In group I (DUB) 40.5%, in group II (infertility) 21.7%, in group III (postmenopausal bleeding) 11.6%, in group IV (suspected leiomyoma) 11.6%, in group V (lost IUCD) 7.3% and in group VI (secondary amenorrhea) 7.3% patients were there. Abnormal hysteroscopic findings were observed as follows, in group I: 85.71%, group II: 80%, group III: 80%, group IV: 62.5%, group V: 60%, group VI: 60% had. Out of 69 patients, in 73.91% patient's intrauterine pathology was seen on hysteroscopic examination. In our study commonest cause of abnormal blee- ding was endometrial hyperplasia (28.5%), endometrial polyp (18%), proliferative endometrium (28.59%), endocervical polyp (3.6%), submucous myoma (3.6%) and atrophic endometrium (3.6%) patients. In patients with lost IUCD, removal of IUCD was done and adhesionolysis was performed in patient with secondary amenorrhea.

Conclusion

Hysteroscopy is simple, safe, quick, and economical technique which allows exploration of uterine cavity in precise manner with speed and safety. Diagnostic and operative procedures can be performed in the same time.

How to cite this article

Arora P, Mendiratta SL, Mittal M, Kumari P. Role of Hysteroscopy in Gynecological Conditions. World J Lap Surg 2014;7(3):129-132.


PDF Share
  1. 2500 outpatients diagnostic hysteroscopies. Obstet Gynecol 1996;88(1):16-20.
  2. Investigation of infertile couple. Human Reproduction 2002;17(8):1947-1949.
  3. Accuracy of hysteroscopy in predicting histopathology of endometrium in 1500 women. J Am Assoc Gynecol Laparosac 2001;8(2):207-213.
  4. Office hysteroscopic evaluation of endometrium: can we hit the target. Arch Gynecol Obstet 2004;13.
  5. Prevalence of hysteroscopic findings and histologic diagnoses in patients with abnormal uterine bleeding. Fertil Steril 2008 Jun;89(6):1803-1807.
  6. Diagnostic hysteroscopy: preliminary study of 60 cases 1983;33:250.
  7. Hysteroscopy in the evalution of female infertility. Am J Obstet Gynecol 1980;137:425.
  8. A report of 560 hysteroscopic operations. Hysteroscopy: principles and practice, chapter 3, page 25. Editor Siegler and Lindemann, 1984.
  9. Office hysteroscopy for infertility: a series of 557 consecutive cases. Obstet and Gynecol Int 2010(2010).
  10. Hysteroscopic diagnostic accuracy in postmenopausal bleeding. Acta Med Port 2008 Sep-Oct;21(5):483-488.
  11. Hysteroscopy: an alternative to dilatation and curettage in the diagnosis of post menopausal bleeding. J Obstet Gynecol 2001;21(1):67-69.
  12. Hysteroscopy using CO2 tubal insufflators without the vacuum cannula. J Obstet Gynae Ind 1986;36:955.
  13. A report of 560 hysteroscopic operations. Hysterosocpy: principles and practice, chapter 3, page 25, Editor Siegler and Lindemann, 1984.
  14. Role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathologic correlation. J Gynecol Endosc Surg 2009 Jul-Dec;1(2):98-104.
  15. Carbon dioxide versus normal saline as a uterine distension medium for diagnostic vaginoscopic hysteroscopy in infertile patients: a prospective, randomized multicenter study. Fertil Steril 2003;79(2):418-421.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.