Surgical hysteroscopy: experience at a privat e medical institution

Authors

  • Luis Tang Ploog Centro de Endoscopia Ginecológica Peruano Alemán, Lima, Perú
  • Roberto Albinagorta Olortegui Centro de Endoscopia Ginecológica Peruano Alemán, Lima, Perú
  • Néstor Vega Mariátegui Centro de Endoscopia Ginecológica Peruano Alemán, Lima, Perú

DOI:

https://doi.org/10.31403/rpgo.v61i408

Abstract

Objectives: To determine surgical hysteroscopy findings and experience. Design: Retrospective study. Setting: Centro de Endoscopia Ginecológica Peruano Alemán, Lima, Peru. Participants: Women with uterine pathology. Interventions: Between January 1 2012 and December 31 2013, 122 surgical histerocopies were performed in 122 women 23-58 years old. Results: Preoperative diagnosis was polyps in 87 patients, myomas in 24 patients, uterine adherences in 6 patients and other causes in 5 patients. Polyps and fibroids diagnosis was mostly in patients 31-48 years old. Diagnosis was by ultrasound in 64.8%, sonohysterography in 31.2%, hysterosalpingography in 3.2%, and computerized axial tomography in one case (0.8%). Misoprostol was used prior to surgery in 77 patients (63.1%), general anesthesia in 99% (only one epidural) and glycine as distension medium in 105 patients as well as saline in 17. Operative time for polypectomy was between 18-70 minutes (average 28 minutes), for myomectomy 20-90 minutes (average 48 minutes), and for liberation of endouterine adhesions 30-45 minutes (mean 42). Complications were 3 cases of pelvic inflammatory disease, post myomectomy bleeding in one case and uterine perforation in a case of Asherman’s Syndrome during intrauterine device insertion. In determining diagnosis and pathology correlation, ultrasound failed in 7 of the 53 polyps that proved to be uterine fibroids, sonohysterography failed in 4 of 32 polyps that were fibroids. All diagnostic methods used for uterine fibroids and Asherman’s Syndrome cases were correct. Conclusions: In this report uterine surgical endoscopy was the best way to corroborate preoperative findings and classification.

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Published

2015-05-05

How to Cite

Tang Ploog, L., Albinagorta Olortegui, R., & Vega Mariátegui, N. (2015). Surgical hysteroscopy: experience at a privat e medical institution. The Peruvian Journal of Gynecology and Obstetrics, 61(1), 21–26. https://doi.org/10.31403/rpgo.v61i408

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Artículos Originales