The safety and tolerability of Bettocchi operative hysteroscopy in a women’s health clinic
- Authors: Klyucharov I.V.1,2, Morozov V.V.3, Gaineeva Z.A.2, Klivlend G.O.4,2, Ustinova E.M.2
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Affiliations:
- Kazan State Medical University
- Medical Sanitary Unit, Kazan Federal University
- University of Maryland School Of Medicine
- Kazan State Medical University, Ministry of Health of Russia
- Issue: No 7 (2017)
- Pages: 114-119
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247976
- DOI: https://doi.org/10.18565/aig.2017.7.114-9
- ID: 247976
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Open Access
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Abstract
Background. The most important issues are the level of painful sensations and safety during office hysteroscopy without anesthesia. Objective. To comparatively assess the level of painful sensations and the nature and number of complications during Bettocchi operative hysteroscopy. Subjects and methods. Operative hysteroscopy was performed in 370patients. The visual analogue scale (VAS) was used to assess pain. Complications were recorded if they occurred. Results. To change a hysteroscopic procedure from traditional to contactless could significantly decrease painful sensations that accounted for diagnostic and operational Me 1 (1.2; 1.7) and Me 3 (2.3; 3.1) (p < 0.0001) in the polypectomy group, Me 1 (0.8; 1.5) and Me 3 (2.2; 3.9) (p < 0.0001) in the myomectomy group, Me 1 (0.84; 2.9) and Me 4 (2.9; 4.8) (p = 0.007) in the synechiolysis group, Me 1 (1.3; 1.7) and Me 3 (2.7; 3.3) (p < 0.0001) in the entire group, respectively. The difference in the level of painful sensations between the same stages in different groups was insignificant (p > 0.05). Complications as vasovagal reactions associated with 370 hysteroscopies were observed in 4 (1.08%) cases. Conclusion. The investigation has demonstrated the tolerability of both diagnostic and surgical stages and the high safety profile of office hysteroscopy.
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About the authors
Igor Valerievich Klyucharov
Kazan State Medical University; Medical Sanitary Unit, Kazan Federal University
Email: klyucharoff@yandex.ru
Ph.D., Associate Professor of the Department of Obstetrics and Gynecology No. 1; doctor-consultant of the women’s consultation
Vadim V. Morozov
University of Maryland School Of Medicine
Email: vmorozov@fpi.umaryland.edu
M.D., FACOG, FACS, Assistant Professor, Department of Obstetrics, Gynecology and Reproductive Sciences
Zaytuna Askarovna Gaineeva
Medical Sanitary Unit, Kazan Federal University
Email: Elenadoc64@gmail.com
Head of Women’s Consultation of the Medical Sanitary Unit
Gulnara Olegovna Klivlend
Kazan State Medical University, Ministry of Health of Russia; Medical Sanitary Unit, Kazan Federal University
Email: akridared@yahoo.com
post-graduate student of the Department of Obstetrics and Gynecology No. 1; doctor-consultant of the women’s consultation
Elena Mikhailovna Ustinova
Medical Sanitary Unit, Kazan Federal University
Email: Elenadoc64@gmail.com
doctor - specialist in ultrasound diagnostics of female consultation
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