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Hysteroscopy

تنظير باطن الرحم (دراسة عملية في مشفى التوليد)

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 Publication date 2000
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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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 primary 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.


Artificial intelligence review:
Research summary
تتظير باطن الرحم هو إجراء طبي تم تطبيقه في مستشفى التوليد بجامعة دمشق خلال الفترة من 1/1/1998 إلى 30/9/1999. شملت الدراسة 90 حالة، وكانت الأسباب الرئيسية لإجراء التتظير هي العقم بنسبة 78.88%، حيث كانت 45 حالة منها عقم أولي و26 حالة عقم ثانوي. كما شملت الدراسة حالات أخرى مثل فقدان اللولب الرحمي (6.66%)، الإجهاض التلقائي المتكرر (4.44%)، النزيف الرحمي غير القابل للعلاج (3.33%)، السلائل الرحمية (2.22%)، ومتلازمة أشرمان (2.22%). تم استخدام غاز ثاني أكسيد الكربون (CO2) في الإجراءات، وتم توثيق النتائج والمضاعفات المحتملة. تهدف الدراسة إلى تقييم فعالية وأمان تتظير باطن الرحم في تشخيص وعلاج الحالات المختلفة.
Critical review
دراسة نقدية: على الرغم من أن الدراسة تقدم معلومات قيمة حول استخدام تتظير باطن الرحم في تشخيص وعلاج مجموعة متنوعة من الحالات، إلا أنها تفتقر إلى التفاصيل حول المتابعة الطويلة الأمد للمرضى بعد الإجراء. كما أن الدراسة لم تتناول بشكل كافٍ المضاعفات المحتملة وكيفية التعامل معها. بالإضافة إلى ذلك، كان من الممكن أن تكون الدراسة أكثر شمولية إذا تضمنت مقارنة مع تقنيات أخرى مشابهة لتقديم صورة أوضح عن فعالية تتظير باطن الرحم.
Questions related to the research
  1. ما هي الفترة الزمنية التي أجريت فيها الدراسة؟

    أجريت الدراسة في الفترة من 1/1/1998 إلى 30/9/1999.

  2. ما هي النسبة المئوية للحالات التي كانت تعاني من العقم؟

    كانت نسبة الحالات التي تعاني من العقم 78.88%.

  3. ما هي الحالات الأخرى التي تم علاجها باستخدام تتظير باطن الرحم؟

    شملت الحالات الأخرى فقدان اللولب الرحمي، الإجهاض التلقائي المتكرر، النزيف الرحمي غير القابل للعلاج، السلائل الرحمية، ومتلازمة أشرمان.

  4. ما هو الغاز المستخدم في إجراءات تتظير باطن الرحم في هذه الدراسة؟

    تم استخدام غاز ثاني أكسيد الكربون (CO2) في الإجراءات.


References used
Canavan TP, Doshi NR, Endometrial cancer, Am Fam physician 1999 Jun, 59(11) 3069-77
Capella, Allonc S, Mosad F, Rougers-Bertrard C, Taylor S, Fernandoz H. Hysteroscopic treatment of severe Asherman’s Syndrome and subsequent fertility. Hum. Rep. 1999 May 14 (5) 1230-3
Goudas VT, Session DR. Hysteroscopic Cervical polypectomy with a polyp snare J.Am Assoc Gynecol Laparosc 1999 May; 6(2): 195-7
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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
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.
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Cervix cancer is one of the most important gynecological cancers ,which is possible to be reduced by using early precancerous detecting technics . Objective : The aim of the study is to highlighten the colposcopy as a device for early detection o f precancerous lesions in the cervix , and compare the results with histopathology .
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