ABSTRACT
OBJECTIVE: To evaluate the spectrum of hysteroscopic surgery to be extended. METHODS: Total 1101 women who had undergone hysteroscopic operations with Urione(R) solution and Normal saline as distension media between Feberary 2001 and December 2008 were selected. Clinical characteristics, laboratory data and postoperative result were retrospectively analyzed. RESULTS: Hysteroscopic myomectomy was 884 cases. hysteroscopic polypectomy was 447 cases. Hysteroscopic adhesiolysis was 89 cases. Hysteroscopic adenomyomectomy or adenomyolysis was 66 cases. Hysteroscopic IUD removal was 31 cases. Hysteroscopic ablation for DUB and endometrial hyperplasia was 32 cases. Hysteroscopic septolysis was 18 cases. Hysteroscopic conceptus removal was 6 cases. Mean size of myoma was 3.4 cm. Mean operation time was 47 minutes. Mean deficit of distension media was 193 cc. Average duration of hospitalization was 4.9 days. Average change of Hb. was 1.5 g/dL. Complications of hysteroscopic operation were 16 cases. That is uterine perforation (n=9), hyponatremia (n=2), pulmonary edema (n=2), delayed bleeding (n=2) and bladder perforation (n=1). CONCLUSION: The indication of hysteroscopic op. can be very extended. Pure intramural myoma, subserosal myoma, endometrial polyps, adenomyosis, uterine synechiae, uterine septum, endometrial hyperplasia, DUB and ectopic conceptus can be resected by hysteroscopic operation. Intraoperative ultrasonographic guidance is very important. It makes the complication and morbidity rate to be lower.
Subject(s)
Female , Humans , Adenomyosis , Endometrial Hyperplasia , Gynatresia , Hemorrhage , Hospitalization , Hyponatremia , Hysteroscopy , Myoma , Polyps , Pulmonary Edema , Retrospective Studies , Urinary Bladder , Uterine PerforationABSTRACT
OBJECTIVE: The aim of this study is to extend the indications of hysteroscopic myomectomy. METHODS: Total 304 women who had undergone hysteroscopic myomectomy between February 2001 and March 2005, were selected. Clinical characteristics, laboratory data and postoperative results were analyzed. RESULTS: Mean size of myoma is 3.5 cm, mean op. time is 47 minutes, mean deficit of distension media is 193 cc, types of distension media is URIONE(R) and normal saline, average duration of hospitalization is 4.9 days, average changes of Hb. is 1.5 g/dL, complications of op. were happended in 14 cases, that is uterine perforation (n=8), hyponatremia (n=2), pulmonary edema (n=2), delayed bleeding (n=2). CONCLUSION: The indications of hysteroscopic myomectomy can be extended. In case that patient want to preserve the uterus, deep myometrial embedded or pure intramural myoma might be resected hysteroscopically by single- or multi-step procedure. Hysteroscopic myomectomy performed at observational period may be alternative to hysterectomy in selected cases. In case of recurrence, repeat procedure may reduce the chance of hysterectomy. Intraoperative ultrasonographic guidance is an important procedure in hysteroscopic myomectomy. It lower the complications and morbidity rate.