Hysteroscopy is a very important procedure to diagnose many lesions inside the uterus like: endometrial polyps, Leiomyomas , uterine malformations , adhesions in uterine endometrium. Hysteroscopy's benefit is shown in the way it provides us with dire
ct vision to the uterus .
Our Research is conducted around complications of hysteroscopy and its percentage . This research included 82 patients visited the department of obstetrics and gynecology with these complaints : infertility, abnormal uterine bleeding, menstrual disorders, recurrent abortions , Missing strings of IUDs .
the complication rate of the hysteroscopy were ( 4.88% ) the most ommon complication was: bleeding ( 2.44% ) , it was the same rate of uterine perforation and acute abdominal pain ( 1.22% )
We never found any differences of complications rates According to different indications of hysteroscopy or according to the technique .
As we found the Zero rate of vaginal delivery to the patient plays a role as a dangerous factor in the high rate of complications .
Then , the Complication rate in our study are little, this explain that hysteroscopy is a safe procedure, and that push us to recommend to us it routinely which reduce the hospitalization time and the cost
Hysteroscopy was done at the New Damascus University Maternity hospital in the
period between 1/1/1998 and 30/9/1999.
The hysteroscopied cases were 90 and the indications were as follow:
(71) Cases were infertility (78.88 %); 45 of these were prim
ary while the other 26
were secondary.
(6) Cases were lost IUD (6.66%), and the IUD was removed by hysteroscopy.
(4) Cases were recurrent spontaneous abortion (4.44%)
(3) Cases were untreatable uterine bleeding (3.33%).
(2) Cases were endometrial polyps (2.22%).
(2) Cases were Asherman’s Syndrome (2.22%).
One case was primary amenorrhea and one case was leiomyoma.
This study evaluates the efficacy and the safety of local anaesthesia with lidocaine
spray to avoid the need for additional or general anaesthesia and reducing pain
during out-patient hysteroscopy.
This study evaluates also the efficacy and the sa
fety of local anaesthesia with
paracervical injection of lidocaine and giving of midazolam intravenously during
out-patient culdoscopy.
Design:
Prospective study between 01.03.1999 and 30.06.1999.
Patients:
62 patients underwent out-patient hysteroscopy clinic between 01.03.1999 and
30.06.1999. Culdoscopy performed in 10 of them as infertility-workup.
Setting:
Out-patient hysteroscopy clinic in the University Hospital of Vienna.
