ABSTRACT
Background: Aim of the study was to analyze retrospectively the efficacy of hysteroscopy in the diagnosis of abnormal uterine bleeding (AUB).Methods: Eighty-six women in the reproductive and perimenopausal age group (20-50 years) visiting the gynaecology OPD from March 2018 to February 2019 with the complaints of abnormal uterine bleeding were enrolled in the study. All the patients who underwent hysteroscopic examination were subjected to endometrial curettage; which was sent for histopathological examination (HPE). The hysteroscopic findings were then corelated and compared with HPE.Results: Mean age of the patients was 37.2 years. Around 60.46% patients presented within six months of complaints. Clinically, 54.65% were diagnosed as menorrhagia, 37.2% as polymenorrhoea and 8.13% as intermenstrual bleeding. On hysteroscopy, 44.1% showed abnormal pathology. The positive findings including polyps (8.13%), calcification (3.48%), submucous myoma (12.79%), necrotic mass and forgotten IUCD (2.32%) and adhesions in one case. On the other hand, the findings of histopathology; 56 patients (65.11%) had normal / proliferative / atrophic endometrium, 17 (19.76%) had hyperplasia, 10 (11.62%) had polyps and 3 (3.48%) had calcified endometrium. There was no significant difference between two modalities for normal / proliferative / atrophic endometrium. The HPE diagnosed slightly higher patients of hyperplasia as compared to hysteroscopy. Hysteroscopy diagnosed a higher number of patients with submucous myoma and necrotic mass.Conclusions: Hysteroscopy provided additional visual information for some pathologies which otherwise would remain undiagnosed by HPE.
ABSTRACT
Background and Objectives: The residents of gynaecology should have sound knowledge on pelvic anatomy and have to be adequately trained on common surgical procedures. The training programme was conducted in the dissection hall of Anatomy department of Rural Medical college Loni .During residency, they may not receive adequate training on common surgical procedures for various reasons like shortage of cases, infrequent performance of certain procedures, inability of the faculty to give time ,attention for training in OT and fear of possible complications and medico legal litigations. Material and methods: Twelve residents in Gynaecology and two senior faculty members each from the department of Gynaecology and Anatomy participated in training programme. Five training sessions of dissection of a single human female cadaver ,each lasting for two and half hour duration, were conducted. Pretest and post test were performed with prevalidated and pre tested questionnaire and results compared to assess the impact of training. Level of satisfaction of residents about this innovative method of teaching and training was assessed through 7 point Likert scale. Results: Training programme resulted in significant improvement in the residents knowledge on pelvic surgical anatomy and common surgical gynaecological Procedures. Faculty members identified new insights into the interdisciplinary process of teaching . Conclusion: Surgical training using human cadaver was effective and feasible .It made the teaching process interactive and interesting. Residents expressed happiness about the innovative method of teaching.