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Volume 1 Issue 5 ( November-December ) 2012

Original Articles

Retrospective assessment of cases of diagnostic hysterectomy
Dr. Neera Gupta

Background: The present retrospective was added for evaluation of cases of diagnostic hysterectomy. Materials & methods: A Total of 100 cases were enrolled. Complete details of all the cases were obtained from record files. Only those cases were enrolled in which hysteroscopy was performed. Transvaginal ultrasound or hysterosapingography (HSG) were used to screen individuals who had hysteroscopy for pathology suspected by another imagistic approach. Prior to hysteroscopy, hemograms, vaginal bacteriologic testing, and PAP smears were the standard investigative methods. Since less than 1% of women get post-hysteroscopy infection, antibiotics are not usually given during hysteroscopy in order to prevent surgical site infections or endocarditis. The association between pre- and post-operative diagnoses, the type of anesthetic utilized, and the criteria for diagnostic hysteroscopy were also evaluated. Results: Indications of diagnostic hysteroscopies were Primary/secondary fertility, Pathology suspected by transvaginal sonography, Chronic endometritis, Abnormal uterine bleeding 28 percent, 12 percent, 8 percent and 5 percent of the cases respectively. Best diagnostic accuracy was for trans-vaginal sonography in cases of sub mucosal miomas (71.3%) and the lowest rate of detection was for HSG in other cases (uterine and cervico-istmic sinechiae : 28.6%). Conclusion: Diagnostic hysteroscopy should be done before Assisted Human Reproduction procedures.

 
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