Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 11-12, Pages: 728-731
https://doi.org/10.2298/SARH1212728K
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Results and experiences after 2000 performed hysteroscopies
Kopitović Vesna (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Budakov Dragan (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Trninić-Pjević Aleksandra (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Pop-Trajković Sonja (Klinika za ginekologiju i akušerstvo, Klinički centar, Niš)
Đurđević Srđan (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Ilić Đorđe (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Bjelica Artur (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Kapamadžija Aleksandra (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Milatović Stevan (Klinika za ginekologiju i akušerstvo, Klinički centar Vojvodine, Novi Sad)
Introduction. Hysteroscopy is one of the oldest endoscopic procedures which
uses the cervix for introducing a telescope to place a camera into the
uterine cavity. Objective The aim of the study was to present our experiences
with this procedure during the long-term work starting from the time when
hysteroscopic method of treatment was first introduced at this Clinic until
today. Methods. This prospective study involved 2000 female patients referred
to the Clinic for Gynecology and Obstetrics in Novi Sad from January 2005
till January 2011 for diagnostic and operative hysteroscopy. The following
parameters were analyzed: the presence of minor and major pathology of the
endometrium, type of anesthesia, technique of operative work, instruments and
energy used during hysteroscopy and complications. Results. Seventy-eight
percent of all procedures were done under intravenous anesthesia. The most
common operative procedure was polypectomy and the most complicated one was
myomectomy. By histopathological examination of hysteroscopic biopsy
specimens four endometrial carcinomas were revealed. The combination of
mechanical instrument and bipolar energy were used in most of the cases,
while the percentage of complications was extremely low. Conclusion.
Hysteroscopy is a safe, highly sensitive, precise diagnostic and operative
endoscopic procedure. Our experiences and dilemmas open a field for
discussion and offer salutations to everyday problems. The introduction of
this procedure into out-patients conditions has contributed to the efficiency
of the treatment of vaginal pathological processes, thus enabling that the
method has become available to all gynecologists. This fact requires further
study and new results.
Keywords: hysteroscopy, diagnostic-operative procedure, myomectomy