6,396 results match your criteria Hysteroscopy


Hysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities.

Cochrane Database Syst Rev 2018 Dec 5;12:CD009461. Epub 2018 Dec 5.

Academic Centre for General Practice, Cochrane Belgium, Kapucijnenvoer 33, blok J bus 7001, Leuven, Belgium, 3000.

Background: Observational studies suggest higher pregnancy rates after the hysteroscopic removal of endometrial polyps, submucous fibroids, uterine septum or intrauterine adhesions, which are present in 10% to 15% of women seeking treatment for subfertility.

Objectives: To assess the effects of the hysteroscopic removal of endometrial polyps, submucous fibroids, uterine septum or intrauterine adhesions suspected on ultrasound, hysterosalpingography, diagnostic hysteroscopy or any combination of these methods in women with otherwise unexplained subfertility or prior to intrauterine insemination (IUI), in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI).

Search Methods: We searched the following databases from their inception to 16 April 2018; The Cochrane Gynaecology and Fertility Group Specialised Register, the Cochrane Central Register of Studies Online, ; MEDLINE, Embase , CINAHL , and other electronic sources of trials including trial registers, sources of unpublished literature, and reference lists. Read More

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December 2018
1 Read

The incidence and predictors of gynecologic malignancies among postmenopausal patients with endometrial fluid collection.

Authors:
Zhe Li Lei Li

Arch Gynecol Obstet 2018 Dec 5. Epub 2018 Dec 5.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No 1, Dongcheng District, Beijing, China.

Objective: To investigate the incidence and predictors of gynecologic malignancies among postmenopausal patients with endometrial fluid collection (EFC).

Methods: All patients with EFC diagnosed by transvaginal sonography (TVS) were retrospectively reviewed if they had undergone biopsy of the endometrium from January 2008 to January 2016 in a tertiary teaching hospital. Follow-up ended in June 2017. Read More

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December 2018

Interstitial Fallopian Tube Polyp.

J Minim Invasive Gynecol 2018 Nov 30. Epub 2018 Nov 30.

Center of Reproductive Medicine, Hangzhou Women's Hospital, Hangzhou, China. Electronic address:

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November 2018

Office treatment of large endometrial polyps using truclear 5C: Feasibility and acceptability.

J Obstet Gynaecol Res 2018 Dec 2. Epub 2018 Dec 2.

2nd Unit of Obstetrics and Gynecology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.

Aim: This retrospective multicenter study was carried out to evaluate feasibility, effectiveness and patient acceptability of a small diameter hysteroscopic tissue removal system in the treatment of large endometrial polyps (≥20 mm), usually not removed in an office setting.

Methods: Hundred and forty-six women with a single greater than 10-mm diameter polyp considered for polypectomy between April 2016 and August 2017. Sixty-five of these patients had a polyp size greater than 20 mm. Read More

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December 2018
1 Read

Hysteroscopic removal of intrauterine devices in pregnancy.

Fertil Steril 2018 Dec;110(7):1408-1409

Department of Obstetrics and Gynecology, BC Women's Hospital and Health Centre, University of British Columbia, Vancouver, British Columbia, Canada.

Objective: To introduce and demonstrate an approach to the hysteroscopic removal of retained intrauterine devices (IUDs) in pregnancy. Pregnancy risks associated with retained IUDs are also discussed, specifically spontaneous abortion and preterm labor.

Design: A step-by-step explanation of the procedure with surgical video footage. Read More

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December 2018
1 Read

Reproductive performance after the application of hyaluronic acid gel after dilation and curettage in women who have experienced at least one previous curettage: long-term results of a multicenter prospective randomized trial.

Fertil Steril 2018 Dec;110(7):1231-1238

Department of Obstetrics and Gynecology, Free University Medical Center, Amsterdam, The Netherlands.

Objective: To examine whether intrauterine application of auto-cross-linked hyaluronic acid (ACP) gel after dilation and curettage (D&C) improves reproductive performance.

Design: Multicenter prospective randomized trial.

Setting: One university and seven university-affiliated teaching hospitals. Read More

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December 2018

[COMPARISON OF ULTRASOUND INVESTIGATION METHODS IN POSTMENOPAUSE].

Georgian Med News 2018 Oct(283):19-26

Institute of Pediatrics, Obstetrics and Gynecology named E.M. Lukyanova of the NAS of Ukraine.

The aim of the study is to improve the diagnostic approach in assessing the state of the endometrium with the help of ultrasonic endometrial diagnostics in accordance with the IETА criteria in combination with three-dimensional Doppler indices, calculating the volume of the endometrium, and the 3D reconstruction in postmenopausal women. 167 postmenopausal women underwent a 2D pelvic ultrasound examination and a combined three-dimensional complex pelvic ultrasound examination that included calculation of the volume of the endometrium, three-dimensional dopplerometric indices (vascularization index, blood flow index and vascularization ratio), and 3D-reconstruction mode. In the second stage, the patients underwent hysteroscopy/endometrial bipyroscopy with morphological evaluation of tissue samples, which retrospectively performed analysis of echographic and dopplerometric criteria in patients with benign changes in the endometrium and their comparison with atrophic endometrium. Read More

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October 2018

Efficacy of Intrauterine Lidocaine Instillation in Reducing Pain during Endometrial Biopsy by Novak.

Pain Res Treat 2018 1;2018:9368298. Epub 2018 Nov 1.

Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

Abnormal uterine bleeding in women aged 35 years or over is an important clinical sign of many gynecological conditions. The diagnoses of these conditions require the pathological report of the endometrial tissue. Outpatient-based endometrial biopsy is an excellent option compared to standard fractional uterine curettage or hysteroscopy with endometrial biopsy in providing a definite diagnosis for abnormal uterine bleeding as it is less painful and does not require high potency anesthesia. Read More

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November 2018
1 Read

Simulation and Training of Gynaecological Skills.

Facts Views Vis Obgyn 2018 Mar;10(1):21-27

European Academy of Gynaecological Surgery, 3000 Leuven, Belgium.

In order to offer our patients, the "state of the art" treatment in gynaecology, we need a structured teaching program for trainees concerning the gynaecological skills. In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologists who perform endoscopic surgery without proper training of the specific psychomotor skills, are at higher risk to increased patient morbidity and mortality. Read More

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March 2018
3 Reads

Sonographic and hysteroscopic endometrial examination in women treated with ulipristal acetate: Exploratory findings at a tertiary referral center.

Eur J Obstet Gynecol Reprod Biol 2018 Nov 6;232:40-45. Epub 2018 Nov 6.

Department of Gynecology, Institut Clinic of Gynecology, Obstetrics and Neonatology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Faculty of Medicine-University of Barcelona, Barcelona, Spain. Electronic address:

Objective: Ulipristal acetate (UPA) is a progesterone receptor modulator (PRM) agent that has shown benefits in women with symptomatic uterine fibroids. However, its effects on the endometrium are complex and not fully understood. We describe exploratory findings on macroscopic observation of the endometrium at transvaginal sonography (TVS) and hysteroscopy. Read More

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November 2018
3 Reads

Overcoming the Challenging Cervix: Identification and Techniques to Access the Uterine Cavity.

Obstet Gynecol Surv 2018 Nov;73(11):641-649

Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH.

Importance: Cervical stenosis is a challenging clinical entity that requires prompt identification and management in order to avoid iatrogenic injury at the time of endocervical canal cannulation.

Objective: The aim of this study was to identify cervical stenosis and discuss associated etiologies, risk factors, and review medical and surgical approaches for overcoming cervical stenosis.

Evidence Acquisition: Computerized searches of MEDLINE and PubMed were conducted using the key words "cervix", "cervical stenosis," "embryo transfer," "hysteroscopy complications," "misoprostol," and "ultrasound. Read More

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November 2018
3 Reads

Clinicopathological and survival analysis of uterine papillary serous carcinoma: a single institutional review of 106 cases.

Cancer Manag Res 2018 25;10:4915-4928. Epub 2018 Oct 25.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,

Objectives: The objectives of this study were to analyze clinicopathological features and to investigate the prognostic determinants in patients with uterine papillary serous carcinoma (UPSC).

Materials And Methods: A cohort of 106 UPSC patients diagnosed and treated at Peking Union Medical College Hospital between 2000 and 2016 were retrospectively reviewed. The Kaplan-Meier method and Cox regression analysis were used for survival analysis. Read More

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October 2018
4 Reads

Detection of Asherman's syndrome after conservative management of placenta accreta: a case report.

J Med Case Rep 2018 Nov 20;12(1):344. Epub 2018 Nov 20.

Perinatal Center, Division of Maternal Fetal Medicine, Saitama Medical Center, Jichi Medical University, 1-847, Amanuma-cho, Omiya-ku, Saitama, 330-8503, Japan.

Background: We present a case involving conservative treatment of placenta accreta, with a subsequent diagnosis of Asherman's syndrome.

Case Presentation: A 41-year-old Japanese woman (G2P0A2) delivered a healthy male infant via cesarean section due to preeclampsia. The placenta did not spontaneously separate and was manually removed. Read More

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November 2018
1 Read

Malignant endometrial polyp in woman with the levonorgestrel intrauterine system - a case report.

Gynecol Endocrinol 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Obstetrics and Gynecology , First Medical Faculty of Charles University and General Faculty Hospital , Praha , Czech Republic.

The levonorgestrel-releasing intrauterine system (LNG-IUS) is widely used and recommended as a reliable contraceptive. It also acts by opposing the effects of estrogen on the endometrium, thereby preventing development of endometrial hyperplasia and its possible malignant transformation. This case describes a 52-year-old multiparous amenorrhoeic patient who was seen in the gynecology outpatient department for a routine control 46 months after the insertion LNG-IUS as contraception. Read More

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November 2018
3 Reads

Cardiac Arrest Due to Air Embolism: Complicating Image-guided Lung Biopsy.

Cureus 2018 Sep 13;10(9):e3295. Epub 2018 Sep 13.

Department of Internal Medicine, East Tennessee State University, Quillen College of Medicine, Johnson City, USA.

Cardiac arrest due to air embolism is an infrequent complication. Air embolism can be associated with procedures like endoscopic retrograde cholangiopancreatography, endoscopic variceal ligation, operative hysteroscopy, laparoscopic surgery, pacemaker placement, cardiac ablation, fiberoptic bronchoscopy, and decompression sickness. In rare cases, air embolus can be a catastrophic complication of computed tomography (CT) guided lung biopsy, which can lead to cardiac arrest. Read More

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September 2018
4 Reads

Segmentation of the uterine wall by an ensemble of fully convolutional neural networks.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:49-52

In the past decades, the number of in vitro fertilization (IVF) procedures for the conception of a child has been rising continuously, however, the success rate of artificial insemination remained low. According to current statistics, large portion of unsuccessful IVF relates to some women' factors. As the directly related female organ, the proper investigation of the uterus has primary importance. Read More

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Addition of power Doppler to grey scale transvaginal ultrasonography for improving the prediction of endometrial pathology in perimenopausal women with abnormal uterine bleeding.

Indian J Med Res 2018 Sep;148(3):302-308

Department of Obstetrics & Gynaecology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.

Background & Objectives: Transvaginal ultrasonography (TVS) is a non-invasive procedure and can be used as a screening tool among women with abnormal uterine bleeding (AUB). Power Doppler is useful in depicting the vascular architecture better than the conventional Doppler. Hence, this study was conducted to evaluate whether addition of power Doppler to grey scale TVS can replace invasive hysteroscopy for the prediction of endometrial pathology in perimenopausal women with AUB. Read More

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September 2018
4 Reads

Impact of local endometrial injury on in vitro fertilization/intracytoplasmic sperm injection outcomes: A systematic review and meta-analysis.

J Obstet Gynaecol Res 2018 Nov 12. Epub 2018 Nov 12.

Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical School, Huazhong University of Science and Technology, Wuhan, China.

Aim: Recent studies have revealed positive effects of endometrial injury on clinical pregnancy rates, but with inconsistent results. The aim of this meta-analysis was to assess the efficacy of endometrial injury (biopsy and/or hysteroscopy) as a potential treatment measure for implantation failure in the in vitro fertilization population.

Methods: We searched in PubMed for studies comparing the efficacy of endometrial injury versus no intervention in women with at least one implantation failure. Read More

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November 2018
13 Reads

False diagnosis of and needless therapy for presumed gestational trophoblastic disease in women with an unusual site of residual pregnancy.

J Int Med Res 2018 Nov 9:300060518807600. Epub 2018 Nov 9.

1 Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Objective: This study aimed to determine the diagnostic value of magnetic resonance imaging (MRI), hysteroscopy, and laparoscopy to avoid unnecessary treatment when patients present with clinical manifestations that are close to those of gestational trophoblastic neoplasia (GTN).

Methods: Three patients who were falsely diagnosed with presumed GTN and received needless chemotherapy in our hospital from July 2011 to March 2012 were studied. We also reviewed data of patients with similar clinical features who were diagnosed as having residual pregnancy in recent years. Read More

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November 2018
2 Reads

Congenital anal atresia with rectovestibular fistula, scoliosis, unilateral renal agenesis, and finger defect (VACTERL association) in a patient with partial bicornuate uterus and distal vaginal atresia: A case report.

Medicine (Baltimore) 2018 Nov;97(45):e12822

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P. R. of China.

Rationale: Vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect (VACTERL) association and Müllerian duct anomalies are rare conditions. We present a rare condition with the co-occurrence of the VACTERL association and Müllerian duct hypoplasia to characterize patients' clinical presentations, outcomes, and treatment.

Patient Concerns: An 11-year-old girl presented to our hospital with severe lower abdominal pain, lower vaginal atresia with enlargement of the upper vagina and a bicornuate uterus with a Y-shaped uterine cavity filled with hematometra on pelvic magnetic resonance imaging. Read More

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November 2018
7 Reads

Laparoscopic combined with hysteroscopic repair or operative hysteroscopy in the treatment of symptomatic cesarean-induced diverticulum.

Med Sci (Paris) 2018 Oct 7;34 Focus issue F1:47-51. Epub 2018 Nov 7.

Department of Gynecology and Obstetrics, Fujian Province Maternity and Children's Hospital, affiliated hospital of Fujian Medical University, No.18 Anshan Road, Gulou District Fuzhou City, Fujian Province 350001, PR China.

Objective: The postmenstrual bleeding with cesarean-induced diverticulum is a bothersome symptom and can be confused with other abnormal-uterine bleeding disease. The aim of the present study was to evaluate the efficacy and safety of laparoscopic combined with hysteroscopic repair vs operative hysteroscopy in treatment of symptomatic cesarean-induced diverticulum.

Methods: Eighty-two women with cesarean-induced diverticulum who underwent either laparoscopic combined with hysteroscopic repair or operative hysteroscopy between January 2012 and September 2015 were retrospectively included in the study. Read More

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October 2018
1 Read
0.520 Impact Factor

Laparoscopic Radical Trachelectomy for Embryonal Rhabdomyosarcoma of the Cervix in a 2-Year-Old Girl.

Obstet Gynecol 2018 Dec;132(6):1486-1490

Division of Gynecologic Oncology, Department of Surgery and Surgical Oncology, University Health Network, Princess Margaret Cancer Centre, the Department of Obstetrics and Gynecology, University of Toronto, and the Section of Pediatric Gynecology, Division of Endocrinology, the Division of Pediatric Urology, Department of Surgery, and the Division of Hematology/Oncology, Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Embryonal rhabdomyosarcoma of the cervix is a rare and aggressive malignancy that usually affects children and young adults.

Case: We describe a 2-year-old patient who presented with a mass protruding through the vaginal introitus. Preoperative investigations including vaginoscopy, hysteroscopy, magnetic resonance imaging, and biopsies confirmed embryonal rhabdomyosarcoma, botryoid subtype, arising from the cervix. Read More

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December 2018
5 Reads

Diagnostic Value of Assessment of Cervical Involvement in Early-Stage Endometrial Adenocarcinoma: Comparison of Magnetic Resonance Imaging (MRI) Versus Hysteroscopy.

Med Sci Monit 2018 Nov 6;24:7952-7957. Epub 2018 Nov 6.

Department of Gynecologic Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China (mainland).

BACKGROUND The aim of this study was to compare magnetic resonance imaging (MRI) and hysteroscopy (HS) for assessing cervical involvement in early-stage endometrial adenocarcinoma in order to establish a more reliable screening method to aid in clinical decision-making. MATERIAL AND METHODS A retrospective analysis was performed on the clinicopathological data from 88 patients with stage I or II endometrial adenocarcinoma who underwent MRI and HS prior to surgery in the Sun Yat-sen Memorial Hospital, Sun Yat-sen University, China. Chi-square and Fisher's exact tests were performed to compare the accuracy, sensitivity, specificity, and positive and negative predictive values in the diagnosis of cervical involvement by MRI and HS. Read More

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November 2018
4 Reads

Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature.

World J Clin Cases 2018 Oct;6(12):559-563

Department of Neurosurgery, People's Hospital of Deyang City, Deyang 618000, Sichuan Province, China.

Generally, hysteroscopy is not appropriate for pregnant women without an indication. What if a patient undergoes hysteroscopy accidentally during the early gestational period? We here report a rare case of a woman who continued pregnancy after a diagnostic hysteroscopy was performed in early pregnancy and delivered a healthy baby. The patient had a history of infertility and oligomenorrhea, probably due to a previous induced abortion. Read More

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October 2018
1 Read

N 275 - Antibioprophylaxie dans le cadre d'interventions gynécologiques.

J Obstet Gynaecol Can 2018 Oct;40(10):e734-e745

Vancouver (C.-B.).

Objectif: Analyser les données et formuler des recommandations sur l'antibioprophylaxie dans le cadre d'interventions gynécologiques.

Issues: Parmi les issues évaluées, on trouvait la nécessité du recours aux antibiotiques et leur efficacité pour ce qui est de la prévention des infections dans le cadre d'interventions gynécologiques. RéSULTATS: Des recherches ont été menées dans Medline et The Cochrane Library afin d'en tirer les articles publiés entre janvier 1978 et janvier 2011 sur le sujet de l'antibioprophylaxie dans le cadre d'interventions gynécologiques. Read More

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October 2018
1 Read

No. 275-Antibiotic Prophylaxis in Gynaecologic Procedures.

J Obstet Gynaecol Can 2018 Oct;40(10):e723-e733

Vancouver, BC.

Objective: To review the evidence and provide recommendations on antibiotic prophylaxis for gynaecologic procedures.

Outcomes: Outcomes evaluated include need and effectiveness of antibiotics to prevent infections in gynaecologic procedures.

Evidence: Medline and The Cochrane Library were searched for articles published between January 1978 and January 2011 on the topic of antibiotic prophylaxis in gynaecologic procedures. Read More

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October 2018
1 Read

Optimal Interval of Time from Operative Hysteroscopy to Embryo Transfer in an In Vitro Fertilization Cycle.

J Minim Invasive Gynecol 2018 Oct 30. Epub 2018 Oct 30.

Department of Obstetrics, Gynecology and Reproductive Sciences (Drs. Aharon, Sekhon, Ascher-Walsh, and Copperman), Icahn School of Medicine at Mount Sinai, New York, New York; Reproductive Medicine Associates of New York (Drs. Sekhon, Ascher-Walsh, and Copperman andMr. Lee), New York, New York.

Study Objective: Data are limited regarding optimal timing between operative hysteroscopy and embryo transfer (ET). This study aimed to assess whether the time interval from operative hysteroscopy to ET affects implantation and clinical pregnancy rates.

Design: Retrospective cohort study (Canadian Task Force classification II-2). Read More

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October 2018
1 Read

The impact of intentional endometrial injury on reproductive outcomes: a systematic review and meta-analysis.

Hum Reprod Update 2018 Nov 2. Epub 2018 Nov 2.

Division of Reproductive Endocrinology-IVF, Department of Obstetrics and Gynecology, Carmel Medical Center, Bruce & Ruth Rappaport Faculty of Medicine, Technion Haifa, Israel.

Background: Endometrial injury is an intentional damage made to the endometrium, usually produced by a Pipelle catheter. Over the last two decades, endometrial injury has been studied to improve implantation rates and decrease the incidence of implantation failure in invitro fertilization (IVF) cycles. Recently, additional studies of endometrial injury, performed not only in patients with implantation failure but also in intrauterine insemination cycles, have been conducted, and the endometrial injury made by hysteroscopy has been researched. Read More

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November 2018
6 Reads

Impact of CYP3A4*1G Polymorphism on Fentanyl Analgesia Assessed by Analgesia Nociception Index in Chinese Patients Undergoing Hysteroscopy.

Chin Med J (Engl) 2018 Nov;131(22):2693-2698

Department of Anesthesiology, Peking University People's Hospital, Beijing 100044, China.

Background: The clinical efficacy of fentanyl for pain control differs greatly across individuals. The purpose of this study was to investigate the impact of CYP3A4*1G polymorphism including wild-type homozygote (CYP3A4*1/*1, GG), mutant heterozygote (CYP3A4*1/*1G, GA), and mutant homozygote (CYP3A4*1G/*1G, AA) on fentanyl analgesia in Chinese patients undergoing hysteroscopy by the assessment of analgesia nociception index (ANI).

Methods: A total of 200 gynecologic patients scheduled for elective hysteroscopy under general anesthesia at Peking University People's Hospital from May to December in 2017 were enrolled in this study. Read More

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November 2018
2 Reads

Balloon Catheter for Cervical Priming before Operative Hysteroscopy in Young Women: A Pilot Study.

J Invest Surg 2018 Oct 31:1-6. Epub 2018 Oct 31.

d Gynecologic and Obstetric Clinic, Department of Surgical, Microsurgical and Medical Sciences , University of Sassari , Sassari , Italy.

Aim: To investigate regarding the safety and effectiveness of a balloon catheter (Aqueduct-100 device) to dilate the uterine cervix before operative hysteroscopies. Secondary objectives were to evaluate the duration of the dilatation procedure and to investigate on physicians' satisfaction with the device.

Methods: Fifty women younger than 40 years, wishing pregnancies and diagnosed with apparently benign intrauterine lesions and/or uterine anomalies, were enrolled into this study and submitted to cervical priming with Aqueduct-100 device before operative hysteroscopy. Read More

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October 2018
4 Reads

A single centre's experience of caesarean scar pregnancy and proposal of a management algorithm.

J Obstet Gynaecol 2018 Oct 29:1-6. Epub 2018 Oct 29.

a Department of Obstetrics and Gynecology , University of Health Sciences Gazi Yasargil Research and Training Hospital , Diyarbakir , Turkey.

The management of a caesarean scar pregnancy ranges from conservative medical therapy to surgical treatment. The aim of this study is to present our experience of caesarean scar ectopic pregnancies treated with different modalities and to develop a management algorithm. This retrospective clinical analysis included 21 caesarean scar pregnancies. Read More

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October 2018
8 Reads

Suprapubic pressure facilitates the procedure of office hysteroscopy: A randomized controlled trial.

J Obstet Gynaecol Res 2018 Oct 25. Epub 2018 Oct 25.

Department of Obstetrics and Gynecology, University of Debrecen Clinical Center, Debrecen, Hungary.

Aim: To minimize the experienced pain during office hysteroscopy, a number of technical approaches and maneuvers are used. The aim of the study was to assess the effect of suprapubic pressure (SuPuP) applied during hysteroscopy. The impact of this maneuver on experienced pain (assessed by visual analog scale [VAS]) and duration of passage through the cervical canal was measured and compared to a reference group with no SuPuP. Read More

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October 2018
1 Read

Surgical correction of T-shaped uteri in women with reproductive failure: Long term anatomical and reproductive outcomes.

J Gynecol Obstet Hum Reprod 2018 Oct 22. Epub 2018 Oct 22.

VKF American Hospital, Women's Health Center Assisted Reproduction Unit, Istanbul, Turkey; VKF Koc University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.

Objective: To evaluate the long term anatomical and reproductive outcomes of hysteroscopic treatment for T shaped uterus in patients presenting with reproductive failure.

Methods: This prospective cohort study included 56 patients with a history of long-standing unexplained infertility, recurrent implantation failure (RIF), and/or recurrent pregnancy loss (RPL) who were eligible for metroplasty by office hysteroscopy. Office hysteroscopy under conscious sedation was performed. Read More

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October 2018
7 Reads

Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique.

Rev Bras Ginecol Obstet 2018 Oct 23;40(10):642-646. Epub 2018 Oct 23.

Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy.

Transverse vaginal septum is a rare female genital tract anomaly, and little is described about its surgical treatment. We report the case of a patient who wished to preserve hymenal integrity due to social and cultural beliefs. We performed a vaginoscopic resection of the septum under laparoscopic view, followed by the introduction of a Foley catheter in the vagina, thus preserving the hymen. Read More

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October 2018
1 Read

Cesarean scar pregnancy; Diagnosis and management between 2003 and 2015 in a single center.

Taiwan J Obstet Gynecol 2018 Oct;57(5):688-691

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Cheil General Hospital and Women's Healthcare Center, College of Medicine, Dankook University, Seoul, South Korea; Department of Obstetrics and Gynecology, Mount Sinai Medical Center, Miami Beach, FL, USA. Electronic address:

Objectives: We aimed to evaluate diagnosis and management of an ectopic pregnancy developing in a previous cesarean scar.

Materials And Methods: Between March 2003 and October 2015, total 64 cases of cesarean scar pregnancy (CSP) were retrospectively reviewed. The cliniscal characteristics, diagnosis, various methods of treatment and clinical outcomes were analyzed. Read More

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October 2018
7 Reads

[Asherman's syndrome : management after curettage following a postnatal placental retention and literature review].

Rev Med Liege 2018 Oct;73(10):508-512

, Service de Gynécologie-Obstétrique, CHR Citadelle, Liège, Belgique.

Asherman's syndrome (AS) is a partial or complete obliteration of the uterine cavity after intrauterine trauma. Approximately 90 % of severe AS cases occur after abortion curettage or postpartum curettage. Clinical signs and symptoms are abnormalities of the cycle (hypomenorrhoea or amenorrhoea) and fertility disorders. Read More

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October 2018
1 Read

Using virtual-reality simulation to ensure basic competence in hysteroscopy.

Surg Endosc 2018 Oct 17. Epub 2018 Oct 17.

SimC, Odense University Hospital, Odense, Region of Southern Denmark, Denmark.

Background: Hysteroscopy is a technically challenging procedure. Specialty curricula of obstetrics and gynaecology appraise hysteroscopy for trainees but there is no present evidence-based training program that certifies the fundamental technical skills before performance on patients. The objectives of this study were to develop and gather validity evidence for a simulation-based test that can ensure basic competence in hysteroscopy. Read More

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October 2018
7 Reads

The current place of mini-invasive surgery in uterine leiomyoma management.

Authors:
Jean Dubuisson

J Gynecol Obstet Hum Reprod 2018 Oct 12. Epub 2018 Oct 12.

Faculty of Medicine, University of Geneva, Geneva, Switzerland; Department of Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland. Electronic address:

Uterine leiomyomas are the most common benign tumors in women of reproductive age. Most of leiomyomas are asymptomatic. They are often found incidentally, and require neither monitoring nor treatment. Read More

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October 2018
5 Reads

Esmolol does not improve quality of postsurgical recovery after ambulatory hysteroscopy: A prospective, randomized, double-blinded, placebo-controlled, clinical trial.

Medicine (Baltimore) 2018 Oct;97(41):e12647

Department of Anesthesiology, Rush School of Medicine, Chicago, IL.

Introduction: Intraoperative systemic esmolol has been shown to reduce postsurgical pain. Nonetheless, it is unknown whether the use of intraoperative systemic esmolol can improve patient-reported postsurgical quality of recovery. The main objective of the current investigation was to evaluate the effect of intraoperative esmolol on postsurgical quality of recovery. Read More

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October 2018
8 Reads

Successful pregnancies in women with diffuse uterine leiomyomatosis after hysteroscopic management using the Hysteroscopy Endo Operative system.

J Minim Invasive Gynecol 2018 Oct 8. Epub 2018 Oct 8.

Department of Obstetrics and Gynecology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. Electronic address:

Study Objective: To evaluate the feasibility, effectiveness, and reproductive outcome of hysteroscopic management using the Hysteroscopy Endo Operative system (HEOS) in patients with diffuse uterine leiomyomatosis (DUL).

Design: Retrospective study (Canadian Task Force Classification III).

Setting: Beijing Tiantan Hospital, Capital Medical University, Beijing, China. Read More

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October 2018
6 Reads

Hysteroscopic Endometrial Polypectomy with Manual Vacuum Aspiration Compared to Mechanical Morcellation.

J Minim Invasive Gynecol 2018 Oct 9. Epub 2018 Oct 9.

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC.. Electronic address:

Study Objective: To examine the effectiveness of hysteroscopy plus manual vacuum aspiration (MVA) for endometrial polypectomy compared with hysteroscopic morcellation.

Design: Retrospective cohort study (Canadian Task Force classification II-2).

Setting: Duke University Medical Center database. Read More

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October 2018
3 Reads
1.570 Impact Factor

Hysteroscopy for Pyometra - Treading on Treacherous Grounds.

Gynecol Minim Invasive Ther 2018 Oct-Dec;7(4):185-186. Epub 2018 Sep 26.

Gynaecological Oncology Group, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.

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September 2018
2 Reads

A Powerful Value of Hysteroscopy.

Authors:
Peng-Hui Wang

Gynecol Minim Invasive Ther 2018 Oct-Dec;7(4):143-144. Epub 2018 Sep 26.

Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan.

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September 2018
2 Reads

Cesarean Scar Pregnancy, Incidence, and Recurrence: Five-Year Experience at a Single Tertiary Care Referral Center.

Obstet Gynecol 2018 Oct 5. Epub 2018 Oct 5.

Department of Obstetrics, Gynecology and Reproductive Sciences, Yale-New Haven Hospital, New Haven, Connecticut.

Objective: To describe the treatment and subsequent pregnancy outcomes in patients with cesarean scar pregnancies at a single institution over 5 years.

Methods: This is a case series of all cesarean scar pregnancies diagnosed from May 2013 to March 2018 at Yale-New Haven Hospital. Data were collected on each patient using electronic medical record review and included patient demographics; medical, surgical, and obstetric history; pregnancy characteristics; treatment modalities used; response to therapy; complications; and subsequent pregnancy outcomes. Read More

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October 2018
8 Reads

Diagnosing Polyps on Transvaginal Sonography: Is Sonohysterography Always Necessary?

Ultrasound Q 2018 Oct 8. Epub 2018 Oct 8.

Department of Radiology, University of Washington Medical Center, Seattle, WA.

Background: Endometrial polyps are localized overgrowth of glands, stroma, and blood vessels and reported in 13% to 50% of women with dysfunctional uterine bleeding. Transvaginal ultrasound (TVUS) is the initial noninvasive modality of choice for the evaluation of endometrial polyps. The addition of intrauterine contrast by adding saline during saline infusion sonohysterography (SIS) has been reported to improve diagnostic accuracy in detecting of endometrial polyps. Read More

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October 2018
8 Reads

Massive hemorrhage from a unique old cesarean scar ectopic pregnancy with negative urine and serum β-HCG: a rare case report.

Postgrad Med 2018 Nov 9;130(8):708-711. Epub 2018 Oct 9.

b Department of Pathology , Chengdu Women's and Children's Central Hospital , Chengdu , China.

Human chorionic gonadotropin (HCG) is an important indicator for the diagnosis of pregnancy. The authors report a unique case of cesarean scar ectopic pregnancy (CSEP) with negative urine and serum HCG levels, which was initially misdiagnosed as an intrauterine tumor despite the use of transvaginal ultrasound. Dilation and curettage was performed, which caused massive vaginal bleeding. Read More

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November 2018
5 Reads

[Clinical multicenter study of carboprost methylate suppository for cervical ripening prior to diagnostic hysteroscopy].

Zhonghua Fu Chan Ke Za Zhi 2018 Sep;53(9):602-607

Gynecologic Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China.

To evaluate the effectiveness of carboprost methylate suppository for cervical ripening before diagnostic hysteroscopy in premenopausal women. From July 2014 to July 2015, 1 614 women who were undergone diagnostic hysteroscopy in 12 hospitals were randomly assigned into study group (1 209) and control group (405) . The cases in study group were given 1 mg carboprost methylate suppository in vagina before hysteroscopy, the cases in control group were given 1 mg placebo. Read More

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September 2018
4 Reads

Carbon dioxide in office diagnostic hysteroscopy: An open question. A multicenter randomized trial on 1982 procedures.

Eur J Obstet Gynecol Reprod Biol 2018 Sep 28. Epub 2018 Sep 28.

Department of Obstetrics and Gynaecology, Ente Ecclesiastico Ospedale Generale Regionale "F. Miulli", Acquaviva delle Fonti (BA), Italy; Department of Obstetrics and Gynaecology, Fondazione policlinico universitario A. Gemelli IRCCS- Università Cattolica del Sacro Cuore, Largo "A. Gemelli" 8, 00168, Roma, Italy.

Objective: to compare carbon dioxide and saline solution distension in diagnostic hysteroscopies with regards to patient discomfort and procedural time and in accordance with the instrument diameter (5 mm vs 3.5 mm). The secondary outcome was to evaluate the role of the patient age and the obstetrical history on perception of pain and procedural time. Read More

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September 2018
2 Reads

Evaluation of the effects of dexmedetomidine and remifentanil on pain with the analgesia nociception index in the perioperative period in hysteroscopies under general anesthesia. A randomized prospective study.

Saudi Med J 2018 10;39(10):1017-1022

Anesthesiology and Reanimation Department, University of Health Sciences Fatih Sultan Mehmet Health Research and Application Center, İstanbul, Turkey. E-mail.

Objectives To compare analgesia nociception index (ANI) values, visual analog scale (VAS) values, and hemodynamic parameters in hysteroscopy patients who received remifentanil and dexmedetomidine during general anesthesia. Methods: In total, 30 patients who underwent hysteroscopy between March and September 2016 at the University of Health Sciences Fatih Sultan Mehmet Health Research and Application Center, Ankara, Turkey were included in this prospective study. Standard hemodynamic monitoring, ANI, and bispectral index (BIS) monitoring were applied to the patients. Read More

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October 2018
3 Reads

Higher Prevalence of Endometrial Polyps in Patients with Fallopian Tube Obstruction: A Case-Control Study.

J Minim Invasive Gynecol 2018 Sep 28. Epub 2018 Sep 28.

From the Department of Obstetrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China (Drs Sun and Bai), and Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China (Dr Zhang).. Electronic address:

Study Objective: To study the association between endometrial polyps and fallopian tube patency diagnosed by hysteroscopy, conventional histology, and four-dimensional hysterosalpingo contrast sonography (4D-HyCoSy).

Design: Case-control study (Canadian Task Force classification II-2).

Setting: University hospital. Read More

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September 2018
3 Reads