This work was supported by the project scopia – Development of software supported clinical devices based on endoscope technology


Download 445 b.
Sana27.02.2018
Hajmi445 b.



This work was supported by the project SCOPIA – Development of software supported clinical devices based on endoscope technology (VKSZ_14-1-2015-0072).

  • This work was supported by the project SCOPIA – Development of software supported clinical devices based on endoscope technology (VKSZ_14-1-2015-0072).

  • The project was supported by the Hungarian Government and financed by the National Research, Development and Innovation Fund.



Background

  • Hysteroscopy is stated as the gold standard method in evaluating the uterine cavity

  • Indications



Office hysteroscopy

  • No Anesthesia

  • No OR

  • No Hospitalization

  • Out-patient setting



Instruments

  • Optic: 2.9 mm, 30 degree, rigid

  • 3.7 mm single flow sheath

  • 5.5 mm operative sheath, with in-built working channel

      • (EMD Endoscope Technology)
  • Distension medium: saline, at pressure of 80-100 Hgmm ^

  • Light source:150 W, halogen

  • Digital camera (USB)



Patients

  • Between 01.05.2008. and 01.12.2011.

  • 400 examinations

  • Successful in 395 cases

  • Infertility: 226 cases

  • Negative USG!

  • No major complication: bleeding, perforation



Methods

  • Lithotomy position

  • Without anesthesia

  • Early follicular phase, between 4-5th and 10-11th cycle-day

  • Modified „no-touch” technique ^

  • Duration: 2-5 minutes, no need for hospitalization



226 case in infertility

  • 226 case in infertility

  • Mean age: 33.2 years

  • Intrauterine pathology in 80 cases (36%!)

  • Primary infertility 60.7%

  • Secondary infertility 39.3%

  • Secondary infertility

      • 56% nulliparous,
      • 44% non-nulliparous


Findings

  • Endometrial polyp: 29 cases

  • Myoma: 11 cases

  • Septated uterus (in one case simultaneous myoma): 26 cases

  • Arcuated uterus (in 2 cases simultaneous myoma): 10 cases

  • Endometrial pathology: 6 cases





Patients with negative results: 32.6 years

  • Patients with negative results: 32.6 years

  • Patients with positive results: 35.1 years.







Conclusion

  • Opportunity of a quick, precise, minimally invasive evaluation of the uterine cavity.

  • Because of infertile problems, more and more hysteroscopy is indicated all over the world.

  • Any type of intrauterine pathology: 36% of cases, that was not suspected before

  • OHSC

    • simple to perform
    • cost-effective
  • Office hysteroscopy is recommended to perform at the beginning of the infertility work-up!




Download 445 b.

Do'stlaringiz bilan baham:




Ma'lumotlar bazasi mualliflik huquqi bilan himoyalangan ©fayllar.org 2020
ma'muriyatiga murojaat qiling