Flexible Office Hysteroscopy in Maharat Nahorn Ratchasima Hospital : 4-years experience
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Abstract
Background: Hysteroscopy is currently considered as the most reliable procedure to assess pathologic conditions in the endometrial cavity. The endoscopic techniques are divided into two methods depending on instruments; first is rigid and flexible hysteroscopy. Maharat Nakhon Ratchasima hospital has been applied the flexible office hysteroscopy for 4 years to more than 300 patients. The objective of this study was therefore to evaluate the efficacy and complications of flexible office hysteroscopy in Maharat Nakorn Ratchasima hospital.
Objective: To evaluate the efficacy and complications of flexible office hysteroscopy in Maharat Nakorn Ratchasima Hospital
Setting: Obstetric and gynecology department of Maharat Nakhon Ratchasima hospital.
Study design: Retrospective descriptive study
Methods: Retrospective descriptive study was conducted by a retrospective review of medical records from 379 women who underwent flexible office hysteroscopy in Maharat Nakhon Ratchasima hospital during April 2011 to March 2014.
Results: From 379 patient’s records, the most frequent indications for flexible office hysteroscopy were abnormal ultrasound, abnormal uterine bleeding and infertile screening. Abnormal results were detected 60.7% of cases (230 cases) and the procedure failure rate was 7.4% (28 cases) in which resulted from cervical stenosis, pain and insufficient visualization. The complications were two cases of traumatic cervix and no severe complications were found. Conclusion: The flexible office hysteroscopy had high efficacy with acceptable complications.
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References
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