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Ultrasonographic versus laparoscopic control of hysteroscopic surgery
Benha Medical Journal. 1995; 12 (2): 35-42
in English | IMEMR | ID: emr-36544
ABSTRACT
This study was carried on 38 patients attending in Benha UniversityHospitals with different pathological intrauterine lesions that needed hystroscopic surgery. The patients were divided into two groups A and B. Group A consists of 28 patients in whom transabdominal ultrasound was used as a control for the hysteroscopic surgery [17 endometrial resections, 5 myomectomies, 4 resections of uterine septum and 2 divisions of intra-uterine adhesions]. Eight cases were done under cervical infilteration anaethesia while the others were done under general anaethesia. Group B consists of 10 patients in whom the old method of laparoscopic control under general anaethesia was used during hysteroscopic surgery [6 endometrial resections, 2 myomectomies, 1 resection of uterine septum and 1 division of intrauterine adhesions]. There were no complications in both groups a part from one perforation which needed no further management in group B due to obscuring of the field by adhesions from a previous pelvic operation. In one case of group A blanching of the peritoneal uterine coat occurred during endometrial resection but actual perforation did not occur. Ultrasound control of hysteroscopic surgery is recommended as it is easy, non-invasive has no special complications or contraindications as for laparoscopy and allows the hysteroscopic surgery to be done under local cervical anaethesia as an outpatient office procedure
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Index: IMEMR (Eastern Mediterranean) Main subject: Uterine Hemorrhage / Comparative Study / Ultrasonography / Laparoscopy Limits: Female / Humans Language: English Journal: Benha Med. J. Year: 1995

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Index: IMEMR (Eastern Mediterranean) Main subject: Uterine Hemorrhage / Comparative Study / Ultrasonography / Laparoscopy Limits: Female / Humans Language: English Journal: Benha Med. J. Year: 1995