Hysteroscopy: a clinical experience with 320 patients

Area of Science:

• Gynecology
• Minimally Invasive Surgery

Background:

• Hysteroscopy has become a valuable tool in diagnosing and managing intrauterine conditions.
• It offers increased accuracy compared to traditional diagnostic methods.

Purpose of the Study:

• To summarize the clinical experience with hysteroscopy in a diverse patient cohort.
• To evaluate the diagnostic and therapeutic utility of hysteroscopy in common gynecological issues.

Main Methods:

• Retrospective review of 320 patients undergoing hysteroscopy.
• Procedures utilized paracervical block or general anesthesia.
• Uterine distention achieved with D5W, dextran, or CO2 gas insufflation.

Main Results:

• 71.6% of patients presented with visually recognizable or suspicious intrauterine abnormalities.
• Hysteroscopy effectively diagnosed endometrial polyps, submucous leiomyomas, uterine malformations, and adhesions.
• The procedure was useful for directed biopsies, foreign body removal, and evaluating persistent pregnancy.

Conclusions:

• Hysteroscopy is a safe, simple, and economical ambulatory procedure.
• It significantly improves diagnostic accuracy and serves as an adjunct in treating intrauterine conditions.
• Hysteroscopy is beneficial for both patients and gynecologists.