OUTPATIENT HYSTEROSCOPY AS AN EXAMPLE OF SAFE AND EFFECTIVE HOSPITAL REPLACEMENT TECHNOLOGY


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The authors present the result of a wide literature search made to study the possibilities, advantages, and disadvantages of outpatient hysteroscopy versus conventional hysteroscopy and resectoscopy. No-touch hysteroscopy is shown to be an effective and safe technique that largely replaces the classical procedures requiring hospital admission, anesthesia, expensive equipment, medical staff, and an operating suite. Office hysteroscopy is not indicated for removal of intrauterine masses more than 2 cm in size, as well as in patients with a history of genital inflammatory diseases and in those with decompensated somatic diseases.

Full Text

Restricted Access

About the authors

I. V KLYUCHAROV

Kazan State Medical University, Ministry of Health of the Russian Federation

Email: Klyucharoff@yandex.ru

A. A KHASANOV

Kazan State Medical University, Ministry of Health of the Russian Federation

Email: albirkhasanov@mail.ru

E. V SAVELYEV

Maternity Home One, City Clinical Hospital Seven, Kazan

Email: Klyucharoff@yandex.ru

References

  1. Rafael F. Valle Development of hysteroscopy: From a dream to a reality, and its linkage to the present and future Journal of Minimally Invasive Gynecology. 2007; 14(1): 407-418.
  2. Стрижаков А.Н., Давыдов А.И. Гистерорезектоскопия. М.:Медицина; 1997. 180 с.
  3. Кулаков В.И., Адамян Л.В. Эндоскопия в гинекологии. Руководство для врачей. М: Медицина; 2000. 384 с.
  4. Emanuel M.H., Wamsteker K. The Intra Uterine Morcellator: a new hysteroscopic operating technique to remove intrauterine polyps and myomas. J Minim Invasive Gynecol. 2005; 12(1): 62-6.
  5. Hamerlynck T. W., Dietz V., Schoot B. C. Clinical implementation of the hysteroscopic morcellator for removal of intrauterine myomas and polyps. A retrospective descriptive study. Gynecol Surg. 2011; 8(2):193-6.
  6. Klyucharov I., Hassanov A., Samigullova A. A shaver-like system (SLS) for intrauterine pathology treatment, preclinical investigation. Gynecological surgery. 2011; 8 (Suppl. 1): S207.
  7. Neuwirth R.S. A new technic for and additional experience with hysteroscopic resection of submucous fibroids. 1978; Am J Obstet Gynecol. 131:91-4.
  8. Campo R., Molinas C.R., Rombauts L., Mestdagh G., Lauwers M., Braekmans P. et al. Prospective multicenter randomized controlled trial to evaluate factors influencing the success rate of office hysteroscopy. Hum reprod. 2005; 20: 258-63.
  9. van Dongen H., de Kroon C.D., Jacobi C.E., Trimbos J.B., Jansen F.W. Diagnostic hysteroscopy in abnormal uterine bleeding: a systematic and meta-analis. BJOG. 2007;114: 664-75.
  10. Cicinelli E., Parisi C., Galantino P., Pinto V., Barba B., Schonauer S. Reliability, feasibility, and safety of minihysterosocopy with a vaginoscopic approach: experience with 6,000 cases. Fertil Steril. 2003; 80:199-202.
  11. De Angelis C., Santoro G., Re M.E., Nofroni I. Office hysteroscopy and compliance: mini-hysteroscopy versus traditional hysteroscopy in a randomized trial. Hum Reprod. 2003; 18:2441-5.
  12. Campo R., Van Belle Y., Rombauts L., Brosens I., Gordts S. Office mini-hysteroscopy. Hum Reprod Update. 1999; 5: 73-81.
  13. Betocchi S., Selvaggi L. А vaginoscopic approach to reduce pelvic pain of office hysteroscopy. J Am Assoc Gynecol Laparosc. 1997; 4: 255-8.
  14. Bettocchi S., Ceci O., Di Venere R., Pansini M.V., Pellegrino A., Marello F., Nappi L. Advanced operative office hysteroscopy without anesthesia: analysis of 501 cases treated with 5 Fr. Bipolar electrode. Hum Reprod. 2002; 17: 2435-38.
  15. Bettocchi S., Ceci O., Nappi L., Di Venere R., Masciopinto V., Pansini V., Pinto L., Santoro A., Cormio G. Operative office hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol Laparosc. 2004; 11: 59-61.
  16. Sharma M., Taylor A., Di Spiezio S.A., Buck L., Mastrogamvrakis G., Kosmas I., et al. Outpatient hysteroscopy: traditional versus the ‘no-touch’ technique. BJOG. 2005; 112:963-7.
  17. Garbin O., Kutnahorsky R., Go Ullner J.L., Vayssiere C. Vaginoscopic versus conventional approaches to outpatient diagnostic hysteroscopy: a two-centre randomized prospective study. Hum Reprod. 2006; 21: 2996-3000.
  18. Sagiv R., Sadan O., Boaz M. A new approach to office hysteroscopy compared with traditional hysteroscopy: a randomized controlled trial. Obstet Gynecol. 2006; 108: 387-92.
  19. Guida M., Di Spiezio Sardo A., Acunzo G., Sparice S., Bramante S., Piccoli R. Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study. Hum Reprod. 2006; 21: 3253-7.
  20. Giorda G., Scarabelli C., Franceschi S., Campagnutta E. Feasibility and pain control in outpatient hysteroscopy in postmenopausal women: a randomized trial. Acta Obstet Gynecol Scand. 2000; 79(7): 593.
  21. Nagele F., Lockwood G., Magos A.L. Randomised placebo controlled trial of mefenamic acid for premedication at outpatient hysteroscopy: a pilot study. Br J Obstet Gynaecol. 1997; 104: 842.
  22. Tam W.H., Yuen P.M. Use of diclofenac as an analgesic in outpatient hysteroscopy: a randomized, double-blind, placebo-controlled study. Fertil Steril. 2001; 76: 1070.
  23. Mercorio F., De Simone R., Landi P., Sarchianaki A., Tessitore G., Nappi C. Oral dexketoprofen for pain treatment during diagnostic hysteroscopy in postmenopausal women. Maturitas. 2002; 43: 277.
  24. Rullo S., Sorrenti G., Marziali M., Ermini B., Sesti F., Piccione E. Office hysteroscopy: comparison of 2,7- and 4-mm hysteroscopes for acceptability, feasibility and diagnostic accuracy. J Reprod Med. 2005; 50: 45-8.
  25. Litta P., Cosmi E., Saccardi C., Esposito C., Rui R., Ambrosini G. Outpatient operative polypectomy using a 5 mm-hysteroscope without anaesthesia and/or analgesia: advantages and limits. Eur J Obstet Gynecol Reprod Biol. 2008; 139: 120-4.
  26. Carta G., Palermo P., Marinangeli F., Piroli A., Necozione S., De Lellis V., Patacchiola F. Waiting time and pain during office hysteroscopy. J Minim Invasive Gynecol. 2012; 19(3): 360-4.
  27. Siristatidis C., Chrelias C., Salamalekis G., Kassanos D. Office hysteroscopy: current trends and potential applications: a critical review. Arch Gynecol Obstet. 2010; 282 (4): 383-8.
  28. Bettocchi S., Nappi L., Ceci O., Selvaggi L. What does ‘diagnostic hysteroscopy’ mean today? The role of the new techniques. Curr Opin Obstet Gynecol. 2003; 15: 303-8.
  29. Fernandez H., Gervaise A., de Tayrac R. Operative hysteroscopy for infertility using normal saline solution and a coaxial bipolar electrode: a pilot study. Hum Reprod. 2000; 15: 1773-5.
  30. Garuti G., Cellani F., Colonnelli M., Grossi F., Luerti M. Outpatient hysteroscopic polypectomy in 237 patients: feasibility of a one-stop «‘see-and-treat» procedure. J Am Assoc Gynecol Laparosc. 2004; 11: 500-4.
  31. Garuti G., Centinaio G., Luerti M. Outpatient hysteroscopic polypectomy in postmenopausal women: a comparison between mechanical and electrosurgical resection. J Minim Invasive Gynecol. 2008; 15: 595-600.
  32. Bettocchi S., Nappi L., Ceci O., Pontrelli G., Pinto L., Selvaggi L. Hysteroscopy and menopause: past and future. Curr Opin Obstet Gynecol 2005;17: 366-75.
  33. Colacurci N., De Franciscis P., Mollo A., Litta P., Perino A., Cobellis L., De Placido G. Small- diameter hysteroscopy with Versapoint versus resectoscopy with a unipolar knife for the treatment of septate uterus: a prospective randomized study. J Minim Invasive Gynecol. 2007; 14: 622-7.
  34. Garuti G., Luerti M. Hysteroscopic bipolar surgery: a valuable progress or a technique under investigation? Curr Opin Obstet Gynecol. 2009; 21: 329-4.
  35. Hamou J., Salat-Baroux J., Siegler A.M. Diagnosis and treatment of intrauterine adhesions by microhysteroscopy. Fertil Steril. 1983; 39: 321-6.
  36. Campo V., Campo S. Hysteroscopy requirements and complications. Minerva Ginecol. 2007;59: 451-7.
  37. Савельев Е.В. Гиперпластические процессы эндометрия у женщин репродуктивного возраста после кесарева сечения. Автореф. дисс. канд. мед. наук. 2003.
  38. Di Spiezio Sardo A., Taylor A., Tsirkas P., Mastrogamvrakis G., Sharma M., Magos A. Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies. Fertil Steril. 2008; 89:438-43.
  39. Daniilidis А., Pantelis А., Dinas K., Tantanasis T., Loufopoulos P.D., Angioni S. Indications of diagnostic hysteroscopy, a brief review of the literature Gynecol Surg. 2012; 9: 23-2.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies