Operative hysteroscopy platform at a university teaching hospital: a retrospective study.

OBJECTIVE

This study was performed to the prevalence, indications, effectiveness, outcomes, and complications of with an emphasis on the need for further training and facilities

METHODS

This was a retrospective study of operative procedures

RESULTS

The was hysteroscopic in The most common indication was menorrhagia in (73.33%) were treated under general anesthesia and (26.67%) under spinal anesthesia. fibroids (48.4%) were 3 to 4 cm in size and (35.5%) were >4 cm. polyps (50%) were 3 to 4 cm. The mean uterine size and endometrial thickness were 8.9 ± 2.16 weeks and 11.1 ± 3.01 mm, respectively. The mean preoperative hemoglobin level was 10.9 g/dL and the mean estimated blood loss was 65.9 ± 48.7 mL (range, 10–200 mL). (60.3%) with heavy bleeding improved with no need for further medical or surgical intervention. (44%) with reproductive issues conceived or regained their normal . .

CONCLUSIONS

Operative hysteroscopy an effective safe option in certain uterine pathologies. Specific training in operative hysteroscopy should be promoted to make this type of surgery an integral part of gynecological services in the developing world.