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https://www.readbyqxmd.com/read/29444699/the-hyster-study-the-effect-of-intracervically-administered-terlipressin-versus-placebo-on-the-number-of-gaseous-emboli-and-fluid-intravasation-during-hysteroscopic-surgery-study-protocol-for-a-randomized-controlled-clinical-trial
#1
Lucilla E Overdijk, Bart M P Rademaker, Paul J M van Kesteren, Peter de Haan, Robert K Riezebos, Oscar C H Haude
BACKGROUND: Transcervical resection of myoma or endometrium is a safe, hysteroscopic, minimally invasive procedure. However, intravasation of distension fluid is a common phenomenon during these procedures. In a previous study we observed venous gas emboli in almost every patient. The severity of hysteroscopic-derived embolization has been shown to be correlated to the amount of intravasation. In addition, paradoxical gas embolism, which is potentially dangerous, was observed in several patients...
February 14, 2018: Trials
https://www.readbyqxmd.com/read/29410381/optimal-timing-and-recommended-route-of-delivery-after-hysteroscopic-management-of-isthmocele-a-consensus-statement-from-the-global-congress-on-hysteroscopy-scientific-committee
#2
EDITORIAL
Antonio Simone Laganà, Luis Alonso Pacheco, Andrea Tinelli, Sergio Haimovich, Jose Carugno, Fabio Ghezzi
Current data suggest the development of isthmocele in approximately 60% after a primary caesarean section (CS) and 100% after three CSs. In cases where myometrial thickness is greater than 3 mm, hysteroscopic treatment of cesarean-induced isthmocele represents a feasible and safe approach; conversely, when myometrial thickness is less than 3 mm, the laparoscopic approach should be favored due to risk of uterine perforation and bladder injury. Considering the lack of available evidence, and the need of a clear indication to counsel our patients, the members of this committee concur in recommending to strongly encourage patients to wait at least 3 months after the procedure to conceive...
February 2, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29402197/hysteroscopic-corrections-for-complete-septate-and-t-shaped-uteri-have-similar-surgical-and-reproductive-outcome
#3
Yavuz Emre Şükür, Betül Yakıştıran, Batuhan Özmen, Murat Sönmezer, Bülent Berker, Cem Atabekoğlu
AIM: To compare the surgical results and reproductive performances of patients with ESHRE/ESGE (European Society for Human Reproduction and Embryology/European Society for Gynaecologic Endoscopy) class U1a and U2b uterine anomalies after hysteroscopic correction. METHODS: A retrospective cohort study was conducted at a university hospital infertility clinic. Ninety-six patients with class U2b (complete septate uterus) and 78 patients with class U1a (T-shaped uterus) uterine anomalies who underwent hysteroscopic correction between January 2009 and December 2015 were recruited...
January 1, 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/29402191/post-menopausal-bleeding-is-transvaginal-ultrasound-a-useful-first-line-investigation-in-tamoxifen-users
#4
A Abdaal, Y Mushtaq, L Khasati, J Moneim, F Khan, H Ahmed, H Bolton
Objective To evaluate the role of transvaginal ultrasound triage in women with a history of tamoxifen treatment who present with post-menopausal bleeding. Study design A retrospective review was undertaken of patients who presented with symptoms of post-menopausal bleeding and underwent ultrasound triage. Endometrial thickness and ultrasonographic features were then correlated with hysteroscopic and histopathological outcome data. The findings and outcomes for women with a history of tamoxifen use (tamoxifen group) were compared to those who had not taken tamoxifen (non-tamoxifen group)...
January 1, 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29391675/use-of-hysteroscopy-in-abnormal-uterine-bleeding-an-edge-over-histopathological-examination
#5
Parul Sinha, Nidhi Yadav, Uma Gupta
Purpose of the Study: To assess the efficacy of hysteroscopy in diagnosis of AUB. Method: A total of 56 women in reproductive and peri-menopausal age group (20-50 years) with complaints of abnormal uterine bleeding were enrolled in the study. All the patients underwent hysteroscopic examination followed by biopsy/histopathological evaluation. Hysteroscopic findings were compared against histopathological findings. Sensitivity, specificity, PPV, NPV and accuracy of hysteroscopy were calculated...
February 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29390412/clinical-evaluation-of-improved-myosure-hysteroscopic-tissue-removal-system-for-the-resection-of-type-ii-submucosal-myomas
#6
Yufei Liang, Yuefang Ren, Zeqiu Wan, Lihua Guo, Jie Dong, Yun Chen, Liping Lv
This study aims to determine whether clinical evaluation of improved MyoSure hysteroscopic tissue removal system can remove type II submucosal myomas with safety and high success rate of the first operation.Fifty-three patients with type II submucosal myomas hospitalized in the Huzhou Maternity and Child Care Hospital were enrolled in this study. The submucosal myomas were with the diameter of >2 cm and ≤5 cm. All patients have surgical indications.Fifty-one of 53 hysteromyomas were successfully resected through 1-time operation...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29386987/safety-aspects-of-hysteroscopy-specifically-in-relation-to-entry-and-specimen-retrieval-a-uk-survey-of-practice
#7
S H Walker, L Gokhale
Background: The purpose of this study is to evaluate current practice amongst gynaecologists across the UK, regarding safety aspects of inpatient hysteroscopy under anaesthesia, specifically in relation to entry and specimen retrieval.A survey was created using survey monkey. The first round was circulated to all registrar trainees and consultant gynaecologists across Wales. Following a good response, the survey was then circulated to all members of the British Society of Gynaecological Endoscopy (BSGE)...
2018: Gynecological Surgery
https://www.readbyqxmd.com/read/29379670/uterine-rupture-in-pregnancy-subsequent-to-hysteroscopic-surgery-a-case-series
#8
Şahin Zeteroğlu, Melisa Aslan, Bertan Akar, Rukiye Ada Bender, Alper Başbuğ, Eray Çalışkan
Uterine rupture during pregnancy is associated with high mortality and morbidity rates in both the fetus and the mother. Hysteroscopic surgeries such as myomectomy and septum resection are known risk factors for uterine rupture in pregnancy following the operation. We present four infertile patients who were admitted to Kocaeli Medical Park Hospital between February 2014 and November 2016. Three of the patients underwent hysteroscopic septum resection without complication and one had hysteroscopic myomectomy and a 7-8 mm sized rupture was detected...
December 2017: Turkish Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29374918/-comparison-of-hysteroscopy-and-curettage-in-incomplete-pregnancy-with-cesarean-scar-pregnancy
#9
L Zhao, H Yang, B R Ma, Z H Yin
Objectives: To evaluate the value of hysteroscopy in the diagnosis and treatment of cesarean scar pregnancy (CSP) incomplete abortion. Methods: A total of 42 patients with incomplete cesarean circumcision from January 2014 to March 2017 were retrospectively analyzed.Twenty-one patients underwent bilateral uterine artery embolization.Twenty patients underwent hysteroscopy Electrocardiose resection of pregnancy tissue and coagulation hemostasis, the control group of 22 patients underwent conventional uterine artery embolization surgery...
January 16, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29371825/retrospective-cohort-study-of-the-risk-factors-for-secondary-infertility-following-hysteroscopic-metroplasty-of-the-uterine-septum-in-women-with-recurrent-pregnancy-loss
#10
Shuichi Ono, Mirei Yonezawa, Kenichiro Watanabe, Takashi Abe, Katsuya Mine, Yoshimitsu Kuwabara, Shigeo Akira, Toshiyuki Takeshita
Purpose: A hysteroscopic metroplasty was performed for women with recurrent pregnancy loss owing to a uterine septum, following which some women became infertile. The aim of this study was to elucidate the risk factors of secondary infertility 1 year after hysteroscopic metroplasty for a uterine septum. Methods: A retrospective, single-center, cohort study included women with a history of at least two miscarriages that had been attributed to a uterine septum who underwent a hysteroscopic metroplasty...
January 2018: Reproductive Medicine and Biology
https://www.readbyqxmd.com/read/29362796/association-of-hysteroscopic-vs-laparoscopic-sterilization-with-procedural-gynecological-and-medical-outcomes
#11
COMPARATIVE STUDY
Kim Bouillon, Marion Bertrand, Georges Bader, Jean-Philippe Lucot, Rosemary Dray-Spira, Mahmoud Zureik
Importance: Safety of hysteroscopic sterilization has been recently questioned following reports of general symptoms such as allergy, tiredness, and depression in addition to associated gynecological results such as pelvic pain, perforation of fallopian tubes or uterus, and unwanted pregnancy. Objective: To compare the risk of reported adverse events between hysteroscopic and laparoscopic sterilization. Design, Setting, and Participants: French nationwide cohort study using the national hospital discharge database linked to the health insurance claims database...
January 23, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29362776/evaluating-the-long-term-safety-of-hysteroscopic-sterilization
#12
EDITORIAL
Eve Espey, Lisa G Hofler
No abstract text is available yet for this article.
January 23, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29355897/the-need-for-further-surgical-intervention-following-primary-hysteroscopic-morcellation-of-submucosal-leiomyomas-in-women-with-abnormal-uterine-bleeding
#13
Sarah Maheux-Lacroix, Jennifer Mennen, Amy Arnold, Aaron Budden, Erin Nesbitt-Hawes, HaRyun Won, Jason Abbott
BACKGROUND: Intrauterine hysteroscopic morcellators have been studied as an alternative method for removing submucosal leiomyomas. AIMS: To assess the long-term efficacy of hysteroscopic morcellation of submucosal leiomyomas in women with abnormal uterine bleeding (AUB). MATERIALS AND METHODS: We conducted a prospective cohort study including all women with AUB who underwent a hysteroscopic resection with mechanical morcellation of a benign submucosal leiomyoma confirmed at histopathology...
January 22, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29344973/use-of-hysterosalpingo-foam-sonography-for-assessment-of-the-efficacy-of-essure-hysteroscopic-sterilization
#14
Maja Rosič, Branka Žegura, Sabina Vadnjal Đonlagić
OBJECTIVES: Hysterosalpingo-foam sonography (HyFoSy) has been suggested to be a possible less invasive alternative to hysterosalpingography (HSG), which is the reference standard for confirmation of tubal occlusion after Essure (Bayer AG, Leverkusen, Germany) hysteroscopic sterilization. The purpose of our study was to evaluate the accuracy of HyFoSy compared to HSG for confirmation of tubal occlusion after Essure hysteroscopic sterilization. METHODS: A prospective study included 90 patients who underwent Essure hysteroscopic sterilization...
January 18, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29338827/risk-factors-of-intrauterine-adhesion-after-hysteroscopic-resection-of-endometrial-polyps
#15
Li Su, Lan You, Hong Ping Huang
Objective To analyze the risk factors of intrauterine adhesion (IUA) after hysteroscopic resection of endometrial polyps. Methods Totally 359 patients undergoing hysteroscopic resection of endometrial polyps from January 2013 to December 2016 were enrolled in this study. The clinical data of IUA group and non-IUA group were compared. Univariate analysis was performed to identify the risk factors of IUA,and multivariate Logistic regression analysis was further performed to get the independent risk factors. Results Of these 359 patients,IUA occured after operation in 56 patients (15...
December 20, 2017: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/29324606/obstetric-outcomes-after-failed-hysteroscopic-and-laparoscopic-sterilization-procedures
#16
Kristyn Brandi, Jake R Morgan, Michael K Paasche-Orlow, Rebecca B Perkins, OʼConnell Katharine White
OBJECTIVE: To compare obstetric outcomes after failed hysteroscopic and laparoscopic sterilization. METHODS: This retrospective cohort study examined pregnancy outcomes including live birth, preterm birth, stillbirth, spontaneous abortion, therapeutic abortion, ectopic pregnancies, and gestational trophoblastic disease using a commercial claims administrative database for the years 2007-2013. We used a Z-test to compare pregnancy outcomes per 100 person-years based on type of sterilization...
January 9, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29317550/fertility-sparing-treatment-of-endometrial-cancer-with-initial-infiltration-of-myometrium-by-resectoscopic-surgery-a-pilot-study
#17
Paolo Casadio, Francesca Guasina, Roberto Paradisi, Concetta Leggieri, Giacomo Caprara, Renato Seracchioli
Three women with a well-differentiated grade 1 endometrioid adenocarcinoma of the endometrium with minimal myometrial infiltration were treated with hysteroscopic resection and hormone therapy. The presence of myometrial infiltration has often been mentioned as an exclusion criterion for conservative management in young patients because of worsening cancer prognosis. The subsequent 5-year follow-up and the pregnancies achieved may confirm the choice of this temporary treatment and indicate a new option for fertility-sparing treatment in highly motivated patients...
January 9, 2018: Oncologist
https://www.readbyqxmd.com/read/29289623/hysteroscopic-sterilization-device-follow-up-rate-hysterosalpingogram-versus-transvaginal-ultrasound
#18
Neha Jeirath, Cindy M Basinski, Max A Hammond
STUDY OBJECTIVE: To assess if follow-up confirmation testing 3 months after hysteroscopic sterilization with the Essure device improved with recommendation for transvaginal ultrasound (TVUS) versus hysterosalpingogram (HSG). DESIGN: Retrospective, observational case-controlled cohort study (Canadian Task Force classification II-2) SETTING: Two physician private practice in Evansville, Indiana PATIENTS: Compliance rates for a TVUS confirmation test on 100 women who underwent hysteroscopic sterilization compared to a previously published cohort of 1004 women who were scheduled to undergo HSG confirmation test...
December 28, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29288787/robotic-appendiceal-interposition-with-right-lower-pole-calycostomy-downward-nephropexy-and-psoas-hitch-for-the-management-of-an-iatrogenic-near-complete-ureteral-avulsion
#19
Martus Gn, Ziho Lee, David Strauss, Daniel Eun
Although iatrogenic ureteral injuries are rare, they have potentially devastating consequences for both patients and physicians, and their management remains challenging. We report a case of a 51-year-old morbidly obese (BMI=63) female who suffered an iatrogenic 15 centimeter right ureteral avulsion during hysteroscopic biopsy. Preoperative antegrade and retrograde pyelograms demonstrated no true renal pelvis and a 3 centimeter blind-ending distal ureteral stump. The patient underwent a right robotic downward nephropexy, psoas hitch, lower pole calycostomy and 11 cm appendiceal interposition...
December 27, 2017: Urology
https://www.readbyqxmd.com/read/29288653/long-term-outcomes-after-elective-sterilization-procedures-a-comparative-retrospective-cohort-study-of-medicaid-patients
#20
Rachel Steward, Patricia Carney, Amy Law, Lin Xie, Yuexi Wang, Huseyin Yuce
OBJECTIVES: Compare the long-term outcomes, including hysterectomy, chronic pelvic pain (CPP), and abnormal uterine bleeding (AUB) in women post-hysteroscopic sterilization (HS) and laparoscopic tubal ligation (TL) in the Medicaid population. STUDY DESIGN: Retrospective observational cohort analysis using data from the US Medicaid Analytic Extracts (MAX) Encounters database. Women aged 18 to 49years with at least one claim for HS (n=3929) or TL (n=10,875) between July 1, 2009, through December 31, 2010 were included...
December 27, 2017: Contraception
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