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https://www.readbyqxmd.com/read/29221993/accuracy-of-tubal-patency-assessment-in-diagnostic-hysteroscopy-compared-to-laparoscopy-in-infertile-women-a-retrospective-cohort-study
#1
Regina Promberger, Inga-Malin Simek, Kazem Nouri, Karin Obermaier, Christine Kurz, Johannes Ott
STUDY OBJECTIVE: To evaluate whether the presence of a visualizable "flow" effect in the Fallopian tube ostia in hysteroscopic routine evaluation is predictive of tube patency. DESIGN: Retrospective cohort study (Canadian Task Force Classification II-2) SETTING: Data from all patients who underwent surgery due to infertility at the study center between 2008 and 2016 was analyzed retrospectively. The main outcome parameter was Fallopian tube patency as assessed by laparoscopic chromopertubation...
December 5, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29219004/predictors-of-malignancy-in-endometrial-polyps-study-of-421-women-with-postmenopausal-bleeding
#2
A Ghoubara, S Sundar, A A A Ewies
OBJECTIVE: There is lack of consensus as whether benign-looking endometrial polyps should be removed in postmenopausal women. To help inform clinical practice, this study was conducted to quantify the prevalence and identify the predictors of hyperplasia and cancer in polyps. METHODS: The data of 2625 consecutive women attending a postmenopausal bleeding clinic were collected prospectively in a UK teaching hospital between January 2011 and December 2015. Of them, 421 (16%) women with hysteroscopically benign-looking endometrial polyps with normal background endometrium were included...
December 8, 2017: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/29218411/effect-of-clinical-information-and-previous-exam-execution-on-observer-agreement-and-reliability-in-the-analysis-of-hysteroscopic-video-recordings
#3
Margarida Suzel Lopes Martinho, Cristina Maria Nogueira da Costa Santos, João Luís Mendonça Silva Carvalho, João Francisco Montenegro Andrade Lima Bernardes
INTRODUCTION: Inter-observer agreement and reliability in hysteroscopic image assessment remain uncertain and the type of factors that may influence it has only been studied in relation to the experience of hysteroscopists. We aim to assess the effect of clinical information and previous exam execution on observer agreement and reliability in the analysis of hysteroscopic video-recordings. MATERIALS AND METHODS: Ninety hysteroscopies were video-recorded and randomized into a group without (Group 1) and with clinical information (Group 2)...
December 7, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29218126/a-pilot-study-comparing-hysteroscopic-adhesiolysis-by-conventional-resectoscope-versus-mini-resectoscope
#4
Kallol Kumar Roy, Archana Lingampally, Yamini Kansal, Juhi Bharti, Sunesh Kumar, Perumal Vanamail, Seema Singhal, Jyoti Meena
Objectives: To compare the feasibility and efficacy of the mini-resectoscope with the conventional resectoscope in terms of the operative, menstrual, and reproductive outcome in hysteroscopic adhesiolysis in infertile women. Methods: We conducted a parallel prospective randomized study at All India Institute of Medical Sciences, New Delhi. A total of 60 patients underwent hysteroscopic adhesiolysis using either conventional resectoscope (n = 30) or mini-resectoscope (n = 30)...
November 2017: Oman Medical Journal
https://www.readbyqxmd.com/read/29215509/interval-female-sterilization
#5
Gretchen S Stuart, Shanthi S Ramesh
Female sterilization is relied on by nearly one in three women aged 35-44 years in the United States. Sterilization procedures are among the most common procedures that obstetrician-gynecologists perform. The most frequent sterilization procedures include postpartum tubal ligation, laparoscopic tubal disruption or salpingectomy, and hysteroscopic tubal occlusion. The informed consent process for sterilization is crucial and requires shared decision-making between the patient and the health care provider. Counseling should include the specific risks and benefits of the specific surgical approaches...
December 4, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29203342/effect-of-early-second-look-hysteroscopy-on-reproductive-outcomes-after-hysteroscopic-adhesiolysis-in-patients-with-intrauterine-adhesion-a-retrospective-study-in-china
#6
Wenzhi Xu, Yuxue Zhang, Yang Yang, Songying Zhang, Xiaona Lin
OBJECTIVE: The aim of this study was to assess the effect of early second-look hysteroscopy after hysteroscopic adhesiolysis for intrauterine adhesions (IUAs) on the pregnancy rate (PR) and live birth rate (LBR). STUDY DESIGN: It is a retrospective, observational study of 151 women were referred to our institution from January 2010 to January 2016. Operative hysteroscopy for treatment of IUAs and office hysteroscopic follow-up to assess IUAs. We investigated demographic characteristics, menstrual pattern, previous intrauterine surgery, reproductive history, ovarian preservation assessment, tubal patency examination, husband's semen test, obstetric parameters, and surgical variables to evaluate the effect of early second-look hysteroscopy after hysteroscopic adhesiolysis on the PR and LBR...
December 1, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29180307/laparoscopic-sterilization-under-local-anesthesia-with-conscious-sedation-versus-general-anesthesia-a-systematic-review-of-the-literature
#7
REVIEW
Aleida G Huppelschoten, Kim Bijleveld, Loes Braams, Benedictus C Schoot, Huib A A M van Vliet
Female sterilization is the most popular and common contraceptive method worldwide. Since hysteroscopic sterilization techniques are used less often due to its side effects, the number of laparoscopic sterilization is increasing. A systematic overview concerning the most optimal anesthetic technique for laparoscopic sterilization is lacking. We performed a systematic review to compare conscious sedation with general anesthesia for laparoscopic sterilization procedures with respect to clinical relevant outcome measures, i...
November 24, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29180306/the-intraoperative-effect-of-preoperative-gnrh-analogue-administration-in-women-undergoing-cold-loop-hysteroscopic-myomectomy-a-randomized-controlled-trial
#8
Alessandro Favilli, Ivan Mazzon, Mario Grasso, Stefano Horvath, Vittorio Bini, Gian Carlo Di Renzo, Sandro Gerli
STUDY OBJECTIVE: To evaluate the intraoperative effects of GnRH analogue pretreatment in patients undergoing cold loop hysteroscopic myomectomy. DESIGN: Randomized controlled trial (Canadian Task Force Classification I). SETTING: Arbor Vitae Center for Endoscopic Gynecology, Rome, Italy. PATIENTS: A total of 99 patients were randomized and subsequently allocated to the GnRH analogue group and to the non-pharmacological treatment control group...
November 24, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29172414/contraception-update-sterilization
#9
Karen Antell, Prium Deshmukh, Elizabeth J Brown
Female sterilization procedures include postpartum partial salpingectomy via cesarean or minilaparotomy incision, interval laparoscopic procedures, or hysteroscopic placement of microinserts. Rates of failure and serious complications are low and comparable among the various methods. A hysteroscopic procedure requires a 3-month confirmatory hysterosalpingogram before it is considered effective for contraception. Hysteroscopic sterilization has been shown to be associated with a higher reoperation rate than laparoscopic procedures...
November 2017: FP Essentials
https://www.readbyqxmd.com/read/29153388/-endometrial-osseous-metaplasia-a-case-report
#10
Mohammed Alorini, Moutaz Aziz, Alexis Gromez, Nicolas Piton, Jean-Christophe Sabourin
Endometrial osseous metaplasia (EOM) is a rare condition characterised by the presence of bone in the uterine cavity. Some patients with this condition present with secondary infertility due to the presence of a foreign body in the endometrium. We report a case of a 39-year-old woman who presented with secondary infertility due to EOM. EOM is a rare cause of infertility that can be easily managed by hysteroscopic removal of the bony fragments.
November 15, 2017: Annales de Pathologie
https://www.readbyqxmd.com/read/29146391/small-diameter-hysteroscopic-metroplasty-for-a-septate-uterus-after-open-assisted-laparoscopic-radical-trachelectomy
#11
Akimasa Takahashi, Hiroyuki Kanao, Nobuhiro Takeshima
STUDY OBJECTIVE: To describe a two-step fertility preservation technique for early-stage cervical cancer of a patient with a complete septate uterus. DESIGN: A step-by-step demonstration and explanation of the technique in a surgical video (Canadian Task Force Classification III). SETTING: Center for cancer, a tertiary referral center. The patient provided informed consent to use images and videos of the procedure. Institutional Review Board approval was not required for this kind of procedure...
November 13, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29143353/prospective-study-of-concordance-between-hysterosalpingo-contrast-sonography-and-hysteroscopy-for-evaluation-of-the-uterine-cavity-in-patients-undergoing-infertility-studies
#12
Laura Calles-Sastre, Virginia Engels-Calvo, Mar Ríos-Vallejo, Lucia Serrano-González, Manuel García-Espantaleón, Ana Royuela, Reyes De la Cuesta, Tirso Pérez-Medina
OBJECTIVES: The purpose of the study was to assess the accuracy of hysterosalpingo-contrast sonography (HyCoSy) for evaluation of the uterine cavity. METHODS: Hysterosalpingo-contrast sonography was compared with hysteroscopy for assessment of the uterine cavity. This work was a descriptive prospective study to assess the concordance between pathologic intrauterine findings using the Cohen κ coefficient. Ninety infertile patients from Puerta de Hierro University Hospital were included in the study...
November 16, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29142447/a-prospective-randomized-study-comparing-unipolar-versus-bipolar-hysteroscopic-myomectomy-in-infertile-women
#13
Kallol K Roy, Sandeep Metta, Yamini Kansal, Sunesh Kumar, Seema Singhal, Perumal Vanamail
Study Objective: To compare the operative and reproductive outcome of hysteroscopic myomectomy using unipolar resectoscope versus bipolar resectoscope in patients with infertility and menorrhagia. Design: Randomized, prospective, parallel, comparative, single-blinded study. Design Classification: Canadian Task Force classification I. Setting: Tertiary care institute. Patients: Sixty women with submucous myoma and infertility...
July 2017: Journal of Human Reproductive Sciences
https://www.readbyqxmd.com/read/29138602/improved-adequacy-of-endometrial-tissue-sampled-from-postmenopausal-women-using-the-myosure-lite-hysteroscopic-tissue-removal-system-versus-conventional-curettage
#14
Peter Rosenblatt, Sara Barcia, Anthony DiSciullo, Hussein Warda
Objective: To compare the diagnostic suitability of endometrial tissues obtained from postmenopausal women using the MyoSure Lite tissue removal system versus conventional curettage. Materials and methods: Endometrial tissue was sampled in hysteroscopically normal extirpated uteri from seven postmenopausal women (65.9±6.6 years old) using both hysteroscopicguided morcellation and curettage (two quadrants/uterus with each method). Endometrial sampling was performed immediately after hysterectomy for benign reasons unrelated to uterine pathology...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29129378/transvaginal-natural-orifice-transluminal-endoscopic-surgery-a%C3%A2-new-approach-to-myomectomy
#15
Jan Baekelandt
OBJECTIVE: To demonstrate a new approach for performing a myomectomy via transvaginal natural-orifice transluminal endoscopic surgery (vNOTES) as an alternative to laparoscopic myomectomy. DESIGN: Stepwise explanation of the technique with the use of original video footage. SETTING: Hospital. PATIENT(S): Eight patients were treated transvaginally for intramural, subserosal, and pedunculated myomas. INTERVENTION(S): In case of a posterior myoma, a 2...
November 9, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/29128205/endometrial-ablation
#16
REVIEW
Malcolm G Munro
Endometrial ablation (EA) includes a spectrum of procedures performed with or without hysteroscopic direction, designed to destroy the endometrium for the treatment of the symptom of heavy menstrual bleeding (HMB) secondary to a spectrum of causes, but most commonly those that are endometrial in origin (AUB-E) or ovulatory disorders (AUB-O). Resectoscopic endometrial ablation (REA) is often mistakenly referred to as the "first generation" technique, while proprietary devices that do not use the resectoscope (nonresectoscopic EA or NREA) are often misperceived as "second generation" devices...
October 20, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29121416/pregnant-outcomes-of-atypical-polypoid-adenomyoma-treated-with-progestin-therapy
#17
Qin Chen, Weiguo Lu, Bingjian Lu
AIM: We aimed to investigate the long-term clinical and pregnancy outcome in patients with atypical polypoid adenomyoma (APA) after hysteroscopic excision. METHODS: We analyzed the clinicopathological features, including pregnancy outcomes, in 10 APA patients who had been treated with hysteroscopic excision of the lesion and progesterone therapy. RESULTS: The patients were all nulliparous, and nine had been clinically diagnosed as infertile...
November 9, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29112778/clinical-application-of-hysteroscopic-hydrotubation-for-unexplained-infertility-in-the-mare
#18
Y Inoue, M Sekiguchi
BACKGROUND: Therapeutic techniques for oviductal obstruction in the mare are limited. Non-surgical and retrograde flushing may be an attractive alternative to current treatment methods for oviductal blockage. OBJECTIVES: To evaluate hysteroscopic selective hydrotubation as a treatment option for presumptive equine oviductal blockage. STUDY DESIGN: Retrospective case series. METHODS: Ten ml of saline was flushed through the oviducts in 28 standing sedated mares, which had reproductive histories of unexplained subfertility, by inserting a catheter into the uterotubal junction under endoscopic guidance...
November 7, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29102507/occurrence-of-chronic-pelvic-pain-abnormal-uterine-bleeding-and-hysterectomy-post-procedure-among-women-who-have-undergone-female-sterilization-procedures-a-retrospective-claims-analysis-of-commercially-insured-women-in-the-us
#19
Patricia I Carney, Jianying Yao, Jay Lin, Amy Law
STUDY OBJECTIVE: To evaluate the frequency of chronic pelvic pain (CPP), abnormal uterine bleeding (AUB), and hysterectomy following hysteroscopic (HS) and laparoscopic (LS) sterilization in the US DESIGN: Retrospective cohort study (Canadian Task Force II-2) SETTING: Commercially-insured women PATIENTS: Women (18-49) with claims for HS or LS (1/1/2010-12/31/2012) were identified from the MarketScan Commercial database. Women were required to have 6 months of continuous coverage prior to (baseline) and 24 months after (follow-up) the procedure date...
November 1, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29079463/a-multicenter-study-evaluating-the-effect-of-ulipristal-acetate-during-myomectomy
#20
Ally Murji, Marta Wais, Sabrina Lee, Alice Pham, Melissa Tai, Grace Liu
STUDY OBJECTIVE: To compare surgical experience at myomectomy between patients with fibroids pretreated with ulipristal acetate versus no pretreatment. DESIGN: Prospective, observational, multicenter study of myomectomy procedures by any route (hysteroscopic, laparoscopic or laparotomy). DESIGN CLASSIFICATION: Canadian Task Force Classification II-2. SETTING: Five university-affiliated hospitals including tertiary care and community sites...
October 24, 2017: Journal of Minimally Invasive Gynecology
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