Objective: To assess the efficacy of lignocaine gel in reducing the overall pain and pain of individual steps during outpatient hysteroscopy in comparison with placebo (no anesthesia). Design: A prospective, randomized, double-blind, placebo-controlled trial. Setting: Outpatient hysteroscopy clinic in a regional hospital in Hong Kong. Patient(s): A total of 500 Chinese patients undergoing outpatient hysteroscopy. Intervention(s): Application of lignocaine gel to the cervix during outpatient hysteroscopy. Main Outcome Measure(s): Mean pain score using present pain intensity, overall pain score measured by total area under the curve, and the pain score of individual steps in the procedure in patients receiving lignocaine gel were compared with those of patients having no anesthesia. The failure rate and poor-view rate in both groups were also compared. Result(s): There were no statistically significant differences in mean pain score, overall pain score, and pain score of individual steps between ...
TY - JOUR. T1 - Use of sublingual buprenorphine for pain relief in office hysteroscopy. AU - Lin, Yu Hung. AU - Hwang, Jiann Loung. AU - Huang, Lee W.. AU - Chen, Heng J.. PY - 2005/8. Y1 - 2005/8. N2 - STUDY OBJECTIVE: To assess the efficacy of sublingual buprenorphine in the relief of pain associated with office hysteroscopy. DESIGN: Prospective, randomized study (Canadian Task Force classification I). SETTING: Tertiary medical center. PATIENTS: One hundred sixty-four women referred for office hysteroscopy from September 2003 through March 2004. INTERVENTION: Before hysteroscopy, 80 women received a tablet of buprenorphine (group A), and 84 women received a placebo (group B). Their pain sensations were evaluated on a 10-cm visual analog scale, and they were asked about the adverse reactions and level of satisfaction on the following day. MEASUREMENTS AND MAIN RESULTS: The pain score in group A was 3.3 ± 1.1, which was similar to 3.2 ± 1.3 in group B. The pain scores in subgroups of women ...
Outpatient hysteroscopy is an established diagnostic test that is in widespread use across the UK. The procedure involves the use of miniaturised endoscopic equipment to directly visualise and examine the uterine cavity, without the need for formal theatre facilities or general or regional anaesthesia. Outpatient hysteroscopy is indicated primarily in the assessment of women with abnormal uterine bleeding, but is also employed in the diagnostic work-up of reproductive problems.. Advances in endoscopic technology and ancillary instrumentation have facilitated the development of operative hysteroscopic procedures in an outpatient setting with or without the use of local anaesthesia. Common procedures include endometrial polypectomy, removal of small submucous fibroids, endometrial ablation, removal of lost intrauterine devices and transcervical sterilisation.. Outpatient hysteroscopy, whether diagnostic or operative, is successful, safe and well tolerated. However, as with any procedure requiring ...
Hysteroscopic myomectomy is the referent surgical treatment for submucous myoma. But intrauterine adhesion rate was evaluated about 7 to 15% after this procedure. The investigators hypothetically believe that application of HYALOBARRIER Gel at the end of the procedure, could be reduce the mean intrauterine rate to 50%. Thus, the investigators performed a multicenter (n = 20) prospective study non randomized in 220 patients with submucous myoma , 3 cm of diameter, evaluated by preoperative ultrasound. The investigators prefer this study design, because the principal reason is the number of enrolled patient were more 200 patients in each group with a double blind randomized study. Now, in all patients, after hysteroscopic myomectomy which performed with a same technique in each center (bipolar coagulation and physiologic serum), a diagnostic hysteroscopy was performed at 2 month to determinate the existence of intrauterine adhesion. Secondary end points were in this study the tolerance and side ...
OBJECTIVE: To compare the vaginoscopic approach of diagnostic hysteroscopy without anesthesia with the traditional diagnostic hysteroscopy after intracervical injection of Mepivacaine Hydrochloride 3%.. METHODS: A total of 130 women undergoing diagnostic hysteroscopy were included in the study and were randomized, using a computer-generated randomization list, into two groups with a ratio of 2:1. Eighty three women underwent vaginoscopy without speculum, tenaculum or anesthesia. Forty seven women received intracervical anesthesia with 10 ml of 3% mepivacaine hydrochloride solution injected at two sites (3:00 and 9:00 positions) and underwent traditional hysteroscopy using a speculum and tenaculum. Hysteroscopy was performed using a rigid 3.7 mm hysteroscope in a medium of 0.9% saline, and the image was transmitted to a screen visible to the patient. A Visual Scale Analogue (VAS) consisting of a 10 cm line was used to assess the intensity of pain experienced during and after the procedure. ...
TY - JOUR. T1 - Role of hysteroscopy prior to assisted reproduction techniques. AU - Bakas, Panagiotis. AU - Hassiakos, Dimitrios. AU - Grigoriadis, Charalampos. AU - Vlahos, Nikolaos. AU - Liapis, Angelos. AU - Gregoriou, Odysseas. PY - 2014/3. Y1 - 2014/3. N2 - Study Objective: To determine whether diagnostic hysteroscopy before assisted reproduction techniques (ΑRT) in women without known disease of the uterine cavity is necessary. Design: Prospective cohort clinical study. Setting: Reproductive medicine clinic. Patients: The study group consisted of 217 infertile women attending the Reproductive Clinic for examination before undergoing ART, either invitro fertilization or intracytoplasmic sperm injection. Interventions: Patients underwent transvaginal sonography (TVS) and hysterosalpingography (HSG) for initial evaluation. If there were no abnormal intrauterine findings, diagnostic hysteroscopy was additionally performed. Measurements and Main Results: The safety and diagnostic value of ...
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Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention (operative hysteroscopy). A hysteroscope is an endoscope that carries optical and light channels or fibers. It is introduced in a sheath that provides an inflow and outflow channel for insufflation of the uterine cavity. In addition, an operative channel may be present to introduce scissors, graspers or biopsy instruments. A hysteroscopic resectoscope is similar to a transurethral resectoscope and allows entry of an electric loop to shave off tissue, for instance to eliminate a fibroid. A contact hysteroscope is a hysteroscope that does not use distention media. Hysteroscopy has been done in the hospital, surgical centers and the office. It is best done when the endometrium is relatively thin, that is after a menstruation. Diagnostic can easily be done in an office or clinic setting on suitably ...
ABSTRACT Introduction: To determine the relative frequency of gynecological pathologies in patients with recurrent pregnancy loss using combined hysteroscopy and laparoscopy, and to evaluate the potential of this combined strategy in the diagnosis of coexisting pathologies. Methods: Over 6 years, in a large referral infertility clinic and research centre in Tehran, 80 women with the diagnosis of recurrent pregnancy loss underwent hysteroscopy and laparoscopy. Results: Forty nine (61.3%) women had 3 episodes of miscarriage, 9 (11.3%) had 4 occurrence of pregnancy loss and 14 (17.5%) patients had experienced 5 abortions. Also, there were 4 (5%), 2 (2.5%) and 2 (2.5%) participants with 6, 7 and 8 miscarriages, respectively. Thirteen women (16.2%) had normal hysteroscopy, and in 52 (65%) participants laparoscopy did not reveal abnormal findings. Septate uterus and submucous myomas together, comprised 62 (77.5%) of the recognized pathologies in hysteroscopy. Of the 28 abnormalities found in ...
... in India, leading hysteroscopic surgery centre in India offer best hysteroscopy treatment Delhi, hysteroscopy in Delhi at very low cost.
TY - JOUR. T1 - Vaginal expulsion of submucous myomas after laparoscopic-assisted uterine depletion of the myomas. AU - Liu, Wei Min. AU - Yen, Yuan Kuei. AU - Wu, Yi Cheng. AU - Yuan, Chiou Chung. AU - Ng, Heung Tat. PY - 2001. Y1 - 2001. N2 - Study Objective. To determine the safety and side effects that may be caused by laparoscopic-assisted uterine depletion (LAUD) of submucous myomas. Design. Retrospective chart review and follow-up (Canadian Task Force classification 11-2). Setting. University-affiliated tertiary referral center. Patients. Five hundred twenty women with symptomatic myomas warranting surgical treatment, who wished to retain their uteri. Intervention. Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries. Measurements and Main Results. Postoperative sonographs showed submucous myomas in 53 (10.2%) women. During follow-up for a mean of 8.6 months very few complications occurred; however, nine women (1.7%) ...
PURPOSE: To evaluate the accuracy of sonographic endometrial thickness and hysteroscopic characteristics in predicting malignancy in postmenopausal women undergoing surgical resection of endometrial polyps. METHODS: Five hundred twenty-one (521) postmenopausal women undergoing hysteroscopic resection of endometrial polyps between January 1998 and December 2008 were studied. For each value of sonographic endometrial thickness and polyp size on hysteroscopy, the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated in relation to the histologic diagnosis of malignancy. The best values of sensitivity and specificity for the diagnosis of malignancy were determined by the Receiver Operating Characteristic (ROC) curve. RESULTS: Histologic diagnosis identified the presence of premalignancy or malignancy in 4.1% of cases. Sonographic measurement revealed a greater endometrial thickness in cases of malignant polyps when compared to benign and ...
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Endosee is an all-in-one, handheld, portable, cordless system for diagnostic hysteroscopy that makes office hysteroscopy simple and affordable.
Two reviewers independently searched the Cochrane Menstrual Disorders and Subfertility Specialized Register (10 April 2013), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2013, Issue 1), MEDLINE (1950 to 4 April 2013), and EMBASE (1974 to 4 April 2013) using a combination of both index and free-text terms. We used no language restrictions. We searched other electronic databases of trials including trial registers, sources of unpublished literature, and reference lists. We handsearched the Journal of Minimally Invasive Gynecology (from 1 January 1992 to 13 April 2013) and contacted experts in the field.. We included only studies that were clearly randomized or claimed to be randomized. Studies were selected if the source population included women of reproductive age suffering from infertility, bound to undergo operative hysteroscopy for suspected or unsuspected intrauterine pathology before spontaneous conception or any infertility treatment. Infertility was defined as ...
Gynecologic laparoscopy has evolved into a major surgical tool used to treat a multitude of gynecologic indications. Laparoscopy is the most common surgical procedure performed by gynecologists today. This book catalogs the full spectrum of laparoscopic procedures in gynecology, oncology, and infertility treatment. The authors describe different techniques in minimally invasive surgery and review the evidence-based medical literature supporting these techniques. Included are sections on the management of complications during laparoscopy, ranging from vascular injury to bladder or bowel injury. It contains expanded chapters on laparoscopic anatomy, operative hysteroscopy and pelvic floor repair. The editors have pioneered some of the most important laparoscopic procedures used today. Their work has opened up the video laparoscopy field for surgeons worldwide. The contributors have extensive experience in laparoscopy and hysteroscopy, and many of them have established some of the surgical techniques
The first successful hysteroscopy was reported by Pantaleoni in 1869. In the last two decades, technical developments led to major improvements in diagnostic hysteroscopy and hysteroscopic surgery....
An atlas of operative laparoscopy and hysteroscopy , An atlas of operative laparoscopy and hysteroscopy , کتابخانه دیجیتال جندی شاپور اهواز
Gas embolism is a rare but well documented entity during operative hysteroscopy, with an incidence of 10-50%. Catastrophic outcomes occur at a rate of three in 17,000 procedures. The purpose of this r
Atlantic Reproductive offers operative hysteroscopy to patients. This procedure allows us to evaluate and treat various conditions, such as bleeding.
Hysteroscopy and Laparoscopic Surgeons in Ahmedabad. Book Doctors Appointment, Consult Online, View Doctor Fees, User Reviews, Address and Phone Numbers of Hysteroscopy and Laparoscopic Surgeons in Ahmedabad | Lybrate
I have undergone hysteroscopy on 13 April 13 as advised by gynecologist. I was told that polyp was removed from my uterus. I still get spotting after almost 14 days of hysteroscopy.Is it normal?
Can anybody please guide me on a problem that I have? I have had a very big septum in my uterus which was taken care of with hysteroscopy and laparoscopy. After a year of hectic schedules we decided to give having a baby a shot through IVF. The problem is that I have a follow up hysteroscopy scheduled next month and my IVF cycle three months later. I would like to know from you ladies whether it is possible to get positive the first time. Do I have to go through dietary restrictions or any special exercises ...
Hysteroscopy: Office evaluation and management of the uterin cavity , Hysteroscopy: Office evaluation and management of the uterin cavity , کتابخانه دیجیتال جندی شاپور اهواز
A hysteroscopy is a technique used to look inside the uterus. Using a thin, camera device that is placed inside the uterus through the vagina and cervix, your doctor will be able to diagnose or treat a problem in the uterus. Hysteroscopies are commonly performed to remove a polyp or fibroid from inside the uterus. It may also be used in conjunction with a D&C to determine if there are any abnormalities in the uterus interior lining.. Hysteroscopies are performed as an outpatient procedure. Do not eat or drink anything after midnight prior to the surgery. Pain medications or general anesthesia may be used to alleviate any pain associated with the procedure so it is important to have someone drive you home from the hospital. Mild to moderate cramping and spotting can be expected. Sexual intercourse should be avoided for at least one week following the procedure. Please schedule a follow-up appointment one week after the surgery. ...
Hysteroscopy is an examination that involves inserting a narrow medical scope through the cervical opening to provide a visual inspection of the cervical canal and uterine cavity.
Menstrual disorders, chronic pelvic pain, endometriosis, advanced laparoscopic and hysteroscopic surgery, endometrial ablations, hysteroscopic resections, laparoscopic hysterectomy, surgical treatment for infertility, tubal surgery, reversal of sterilisation, myomectomy - laparoscopic treatment, pelvic organ prolapse - laparoscopic treatment ...
This table shows the technical details of the internal events that happened to this request on WhatDoTheyKnow. This could be used to generate information about the speed with which authorities respond to requests, the number of requests which require a postal response and much more. Caveat emptor! To use this data in an honourable way, you will need a good internal knowledge of user behaviour on WhatDoTheyKnow. How, why and by whom requests are categorised is not straightforward, and there will be user error and ambiguity. You will also need to understand FOI law, and the way authorities use it. Plus youll need to be an elite statistician. Please contact us with questions. ...
Learn and compare which flawless fertility clinics offer Laparoscopic Hysteroscopy and Sonohysterography in Hamilton, New Zealand.
A hysteroscopy is a surgical procedure in which a small-diameter device is inserted into the uterus by a doctor. The device has a small camera and a light to
Ertan Saridogan is a Consultant in Gynaecology, Reproductive Medicine and Minimal Access Surgery at the University College London Hospitals (UCLH) and The Portland Hospital. He qualified in 1997 from Hacettepe University, Faculty of Medicine, Ankara, Turkey.. He is currently the Lead Clinician and Person Responsible for the Reproductive Medicine Unit at the UCLH. His current clinical interests include laparoscopic and hysteroscopic surgery, particularly for patients with subfertility, endometriosis and outpatient hysteroscopy. His research interests include healthy and diseased fallopian tube function, and cellular and biochemical mechanisms in endometriosis associated infertility.. Personal treatment philosophy: I am a believer in the philosophy of patient-centred practice, I believe in enabling women to decide on their own management plan.. ...
At Gynescope, we pass a flexible or rigid telescope-like instrument through the vagina to inspect the cervix and inside of the uterus for defects. Surgery designed to correct such defects or remove any unwanted tissues can be carried out. Making use of a rigid hysteroscope, we have been able to treat abnormal defects within the uterus, remove fibroids, adhesions and sometimes even fetal bones from a previous late abortion, which can prevent conception. Major open surgeries are prevented with the use of the hysteoscope.. ...
Provides a comprehensive pictorial and textual guide to the anatomy, physiology, pathology, and clinical aspects of the uterus and the latest diagnostic and operative hysteroscopy procedures.
1. Cooper MJW, OConnor M."Screening for Drug and Alcohol Abuse in Pregnancy". Presented at the Combined Annual meeting of Societies of Biochemistry and Drug and Alcohol Abuse. Australian National University. Canberra. 20 Feb, 1988.. 2. Cooper MJW, Broadbent M, Molnar B, Rolfe K, Magos M. "Assessment of fertility following transcervical resection of the endometrium". Presented at the Vth European Congress on hysteroscopy and endoscopic surgery. Hamburg. Germany. June 3-6th 1992.. 3. Cooper MJW, Molnar B, Broadbent M, Magos A. "Hypothermia associated with extensive hysteroscopic surgery". Poster presentation at the Vth European Congress on hysteroscopy and endoscopic surgery. Hamburg. Germany. June 3-6th 1992.. 4. Cooper MJW, Molnar B, Broadbent M, Richards R, Magos A. "Does endometrial resection help dysmenorrhoea?". Presented at the British Endoscopy Society Annual Meeting. Guildford. England. October 1992.. 5. Cooper MJW. The place of laparoscopy in modern gynaecological surgery. Invited ...
Objective: To evaluate the TRUCLEAR™ system (Smith and Nephew Inc., London, UK), a hysteroscopic system that morcellates and aspirates masses, in terms of the operating time, surgeons convenience, and effect on patients compared with conventional electrosurgical resection. Methods: Patients undergoing hysteroscopic resection of endometrial polyps were randomly allocated to undergo hysteroscopic morcellation or electrosurgical resection (UMIN-CTR identifier: UMIN000019649). The primary outcome was the operating time. Secondary outcomes were the removal success, fluid deficit, convenience with the technique, insertion time, number of insertions during the operation, visibility of the operative field, recurrence of the patients chief complaint, and adverse events. Results: Sixty-seven women were randomly allocated to the morcellation arm (n = 34) or electrosurgical resection arm (n = 33) from November 2015 to November 2016. The polyps were completely removed, and no adverse events were observed ...
68 Views , Sep 27, 2019 Authors: Michael Sullivan, Cici Zhu, Fatma Alhadhoud, Sukhbir Sony Singh Affliations: University of Ottawa. Uterine anomalies contribute to impaired fertility, especially pregnancy loss and preterm birth. Dysmorphic uteri is a newly defined class of uterine anomalies characterized by a T-shaped cavity and hypertrophic lateral walls. Pilot studies indicate surgical correction of dysmorphic uteri may improve fertility outcomes.We show three cases of hysteroscopic metroplasty to expand dysmorphic uteri in patients with recurrent pregnancy loss. In two cases, the dysmorphic uteri were initially misdiagnosed as normal on two-dimensional ultrasound, suggesting the anomaly may be underdiagnosed. Relaxing incisions were made along the lateral and anteroposterior walls using a Collins knife. Follow-up hysteroscopic lysis of adhesions were performed as an outpatient. Follow-up three-dimensional ultrasound demonstrated expansion and normalization of the uterine cavity. Dysmorphic ...
Hey all, Has anyone gone through a hysteroscopy/D&C for fibroids before an IVF cycle? I had an HSG on Friday and it confirmed that I have a fibroid pushing into my uterine cavity. Doctor was
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At my saline ultrasound, my fertility doctor saw what she suspected to be a uterine septum (an upside-down, triangular shaped piece of tissue which divides all or part of the uterine cavity in two). The septum does not have proper blood supply, so if an embryo were to implant over the septum it would likely…
This is a procedure that enables your doctor to look inside the uterus in order to diagnose and treat causes of abnormal bleeding, using a special instrument called a hysteroscope. This is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. The hysteroscope transmits images of the uterus onto a screen. The difference between laparoscopy and hysteroscopy is that the former is able to view outside the uterus and the latter visualises inside the uterus and fallopian tubes. A hysteroscopy may be done along with a laparoscopy or a dilatation and curettage. It is generally done under local, regional or general anesthesia.. Hysteroscopy is normally done after a period prior to expected time of ovulation.. ...
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Therapeutic curettage under control hysteroscopy in remains of embryonic tissue and fetal membranes (costs for program #120383) ✔ Clinic Stephanshorn Hirslanden ✔ Department of Obstetrics ✔ BookingHealth.com
Hysterosonography: Done using ultrasound, where in fluid is instilled into the uterine cavity with the help of a catheter. & Passage of this fluid through the tubes looked for, along with the presence of free fluid in POD which signifies patency of tubes. Hydrolaproscopy: Gordts, 1999 - not used regularly, though specific as HSG, requires hysteroscopy, it is invasive and costly. Notsuperior to HSG, inferior to diagnostic laparoscopy. Its role still unclear (Templeton 2001). Peritoneal factor by laparoscopy. Uterine factor evaluated by HSG and hysteroscopy. Before uterine instrumentation appropriate antibiotic prophylaxis against chlamydia should be given (RCOG 1999). Here again hysterosopy gives a more accurate diagnosis as we examine the uterine cavity directly using a hysteroscope. Moreover we could also rectify or treat pathologies like sub mucus fibroid, polyps, intrauterine adhesions, septum or foreign bodies in the cavity.. Baseline hormone levels on Day 2 or Day 3 - FSH, LH, Prolactin, ...
Hi after my hysteroscopy my results where not good been diagnosed with cancer awaiting ct scan to see if spread talking about a full hysterectomy I am only 33 have not been able to have children is...
Ive been having some weird cramping/pains over the last year or so and have been having tests over the last few months, so had various internal exams, smears etc, and most recently an ultrasound. So far none of them have shown anything up and so the doctor is referring me for a laparoscopy and a hysteroscopy. Hes explained exactly what they both are and how they work, what theyre looking for etc (and Ive done my own research as well) but I wanted a first-person account of what I should expect in terms of pain afterwards etc, if anyones had it done? Its all very well and good a male doctor telling you something is nothing and it shouldnt be painful, but hes never going to have anyone sticking cameras in his womb ...
Gynaecologist Obstetrician Doctors Faridabad, Revyve IVF & Fertility Care provides advanced laparoscopy & Hysteroscopy surgeries at low-cost the couples who s...
The most common minimally invasive fertility surgery procedures used by our Louisiana fertility doctors are laparoscopy and hysteroscopy.
Question - Had hysteroscopy and laparoscopy for endometriosis. Left ovary fused to the bowel. Will there be any problem in the future?. Ask a Doctor about diagnosis, treatment and medication for Endometriosis, Ask a Gastroenterologist
Our gynecology experts perform hysteroscopy to look inside the uterus and treat heavy or abnormal bleeding, fibroids, polyps and other uterine abnormalities with no incisions and minimal anesthesia.
So I had a hysteroscopy a few months ago. Everything looked great. Then we did an fet and I got pregnant. I miscarried at 7.5 weeks. My dr wants to...