Five Years’ Experience on Hysteroscopy in Abnormal Vaginal Bleeding

AUTHORS

Mansoureh Vahdat 1 , Elaheh Sariri 1 , Maryam Kashanian 2 , zahra najmi 1 , * , Mahjabin Marashi 3 , Behnaz Mohabbatian 3 , Sara Asadollah 3 , Nahid Khorshidi 4

1 Department of Obstetrics and Gynecology, Minimally Invasive Surgery Research Center, Rasool-e-Akram Hospital, Tehran University of Medical Sciences, Tehran, IR Iran

2 Department of Obstetrics and Gynecology, Shahid Akbarabadi Hospital, Tehran University of Medical Sciences, Tehran, IR Iran

3 Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran

4 Department of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

How to Cite: Vahdat M, Sariri E, Kashanian M, najmi Z, Marashi M, et al. Five Years’ Experience on Hysteroscopy in Abnormal Vaginal Bleeding, J Minim Invasive Surg Sci. 2013 ; 2(3):e93783.

ARTICLE INFORMATION

Journal of Minimally Invasive Surgical Sciences: 2 (3); e93783
Published Online: August 30, 2013
Article Type: Research Article
Received: May 15, 2019
Accepted: February 16, 2013

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Abstract

Background: Hysteroscopy is the gold standard method for diagnosis of intrauterine pathologies. Current study is a review of hysteroscopic findings performed over a period of 5 years in patients with abnormal uterine bleeding (AUB).

Objective: The aim of this study was a review of hysteroscopic findings performed over a period of 5 years in patients with abnormal uterine bleeding (AUB).

Patients and Materials: This descriptive analytic study was conducted prospectively on patients in reproductive, premenopausal or postmenopausal ages referring to our hospital with complaint of AUB. All patients underwent hysteroscopy (either diagnostic or therapeutic) by the same surgeons. Analysis was performed on the base of the hysteroscopic findings.

Results: In our population study (379 patients) major menstrual pattern was menometrorrhagia. The most common diagnoses at operative hysteroscopy were endometrial polyps (17.8%), hyperplastic endometrium (15.2%), and uterine submucosal myoma (9.7%).The most common findings in patients with menometrorrhagia were myoma, and polyp where, the most common finding in patients with menorrhagia, and metrorrhagia was polyp. Our major complications were uterine perforation in 9, thermal injury in 3, and air emboli in one case.

Conclusions: In current study the most common pathology was found to be endometrial polyp. Myoma was the most common finding in patients with menometrorrhagic bleeding. Our major complications were uterine perforation, thermal injury, and air emboli.

Keywords

Uterine Hemorrhage Endometrial hyperplasia Hysteroscopy Myoma

© 2013, Journal of Minimally Invasive Surgical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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