Hysteroscopic Surgery at Paholpolpayuhasena Hospital, Kanchanaburi: Pioneering the First Community-Based Training Program
Keywords:
hysteroscopy, abnormal uterine bleeding (AUB), gynecological surgery, community-based trainingAbstract
Objective: This study aims to evaluate the effectiveness of hysteroscopic surgery performed by general gynecologists at Phaholpolpayuhasena Hospital in Kanchanaburi, as part of a community-based training program.
Methods: This study was conducted at Phaholpolpayuhasena Hospital in Kanchanaburi from July 25, 2022, to July 30, 2023. The sample included 65 female patients with abnormal uterine bleeding (AUB). All patients underwent an initial assessment, including a physical examination, laboratory tests, and transvaginal ultrasound (TVS) to identify intrauterine abnormalities prior to undergoing hysteroscopic surgery. Data on diagnostic findings, complications, and histopathology results were recorded and analyzed using descriptive statistics.
Results: The most common diagnosis was endometrial polyps (52.3%), followed by normal endometrium. Hysteroscopic surgery could effectively diagnose and treat these conditions, with minimal complications.
Conclusion: This study demonstrates that hysteroscopic surgery can be effectively implemented in regional hospitals, improving access to advanced gynecological care for patients. The findings suggest that this community-based training model could enhance both access to and quality of treatment in other regional hospitals, supporting equitable healthcare access nationwide.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
