Experience of hysteroscopy in a rural tertiary care center of Haryana, India
Keywords:AUB, Diagnostic hysteroscopy, Hysteroscopy, Learning curve, Operative hysteroscopy, See and treat
Background: During the last few decades hysteroscopy has become a tool of choice for evaluation of uterine cavity due to its “see and treat “benefits. It is more accurate and less invasive. Introduction of hysteroscopy in gynecological practice is the need of time. Aim of our study is to share the experience of hysteroscopy, its learning curve and limitations in a rural tertiary care center of Haryana.
Methods: We retrospectively analyzed all the hysteroscopy procedure done from January 2016 to December 2018 from the hospital records.
Results: Total 118 hysteroscopy were done but record of only 110 was available. Out of 110, 37(33%) were operative and 73(67%) were diagnostic. 36% were done for AUB, 33% for infertility, 15% for misplaced cu t, 6% for amenorrhea, 2% in cases of RPL and rest for some less common indications. Out of operative hysteroscopy major procedures done were polypectomy and removal of misplaced Cu-T. Septal resection was also done in 3 cases. Number of operative hysteroscopy has increased over the time period of study.
Conclusions: Hysteroscopic evaluation of uterine cavity is a reliable method for both diagnostic and treatment purpose. Proportion of hysteroscopy procedures and its learning curve will improve with persistent effort.
Daniilidis A, Pantelis A, Dinas K, Tantanasis T, Loufopoulos PD, Angioni S, et al. Indications of diagnostic hysteroscopy, a brief review of the literature. Gynecol Surg. 2012;9:23-8.
Elbareg AM, Elmahashi MO, Essadi FM. Evaluation of intrauterine pathology: efficacy of diagnostic hysteroscopy in comparison to histopathological examination. Reprod Syst Sex Disord. 2015;4(2):149.
Tangri MK, Lele P, Kapur K, Kapur A, Chabbra N, Mitra B, et al. Role of office hysteroscopy in gynecology: retrospective observational study at a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(1):111-6.
Gulumser C, Narvekar N, Pathak M, Palmer E, Parker S, Saridogan E. See-and-treat outpatient hysteroscopy: an analysis of 1109 examinations. Reprod Biomed Online. 2010;20(3):423-9.
Emovon E, Ranganathan A, Tumula S. Outpatient hysteroscopy: the Calderdale and Huddersfield experience. Clinical Audit. 2010;2:121-5.
Kathuria R, Bhatnagar B. Correlation between D and C, USG and hysteroscopy findings in diagnosing a cause for abnormal uterine bleeding. Indian J Clin Pract. 2014;25(5):466-70.
Loffer FD. Contraindications and complications. In: Obstetrics and Gynecology Clinics of North America: Hysteroscopy. AM Siegler, eds. Philadelphia: WB Saunders; 1995:445-72.
Loffer FD. Complications of Hysteroscopy-their cause, prevention and correction. J Am Assoc Gynecol Laparosc. 1995;3(1):11-26.
Deora S, Manchanda R, Ashraf S. Clinical audit of operative hysteroscopy and it's complications in a single institute performed by the same surgeon in the duration of four years. Int J Scient Res. 2018;7(1):683-4.
Pasini A, Belloni C. Intraoperative complications of 697 consecutive operative hysteroscopies. Minerva Ginecol. 2001;53(1):13-20.
Tarneja P, Tarneja VK, Duggal BS. Complications of hysteroscopic surgery. Med J Armed Forces India. 2002;58(4):331-4.