Pain Management during Office Hysteroscopy: An Evidence-Based Approach
<i>Background and Objectives</i>: Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anesthesia has been requesting validation of practical a...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/8/1132 |
| _version_ | 1797408983837835264 |
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| author | Giovanni Buzzaccarini Luis Alonso Pacheco Amerigo Vitagliano Sergio Haimovich Vito Chiantera Péter Török Salvatore Giovanni Vitale Antonio Simone Laganà Jose Carugno |
| author_facet | Giovanni Buzzaccarini Luis Alonso Pacheco Amerigo Vitagliano Sergio Haimovich Vito Chiantera Péter Török Salvatore Giovanni Vitale Antonio Simone Laganà Jose Carugno |
| author_sort | Giovanni Buzzaccarini |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anesthesia has been requesting validation of practical approach in order to reduce procedure-related pain. In this regard, we performed a comprehensive review of literature regarding pain management in office hysteroscopic procedures. <i>Materials and Methods</i>: MEDLINE, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register), Global Health, Health Technology Assessment Database and Web of Science, other research registers (for example Clinical Trials database) were searched. We searched for all original articles regarding pain relief strategy during office hysteroscopy, without date restriction. Results have been collected and recommendations have been summarized according to the Appraisal of Guidelines for Research and Evaluation (AGREE) tool. Moreover, the strength of each recommendation was scored following the Grading of Recommendations Assessment (GRADE) system, in order to present the best available evidence. <i>Results</i>: Both pharmacological and non-pharmacological strategies for pain management are feasible and can be applied in office setting for hysteroscopic procedures. The selection of strategy should be modulated according to the characteristics of the patient and difficulty of the procedure. <i>Conclusions</i>: Accumulating evidence support the use of pharmacological and other pharmacological-free strategies for reducing pain during office hysteroscopy. Nevertheless, future research priorities should aim to identify the recommended approach (or combined approaches) according to the characteristics of the patient and difficulty of the procedure. |
| first_indexed | 2024-03-09T04:06:36Z |
| format | Article |
| id | doaj.art-6de9fbd226444446b5b2aeec902f486b |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T04:06:36Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-6de9fbd226444446b5b2aeec902f486b2023-12-03T14:05:11ZengMDPI AGMedicina1010-660X1648-91442022-08-01588113210.3390/medicina58081132Pain Management during Office Hysteroscopy: An Evidence-Based ApproachGiovanni Buzzaccarini0Luis Alonso Pacheco1Amerigo Vitagliano2Sergio Haimovich3Vito Chiantera4Péter Török5Salvatore Giovanni Vitale6Antonio Simone Laganà7Jose Carugno8Gynecology and Obstetrics Clinic, Department of Women and Children’s Health, University of Padua, 35100 Padua, ItalyUnidad de Endoscopia Ginecológica, Centro Gutenberg, Hospital Xanit Internacional, 29003 Málaga, SpainGynecology and Obstetrics Clinic, Department of Women and Children’s Health, University of Padua, 35100 Padua, ItalyDepartment of Obstetrics and Gynecology, Hospital del Mar, Autonomous University of Barcelona, 08003 Barcelona, SpainUnit of Gynecologic Oncology, ARNAS “Civico—Di Cristina—Benfratelli”, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90127 Palermo, ItalyDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, HungaryObstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95124 Catania, ItalyUnit of Gynecologic Oncology, ARNAS “Civico—Di Cristina—Benfratelli”, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90127 Palermo, ItalyMinimally Invasive Gynecology Unit, Obstetrics, Gynecology and Reproductive Sciences Department, Miller School of Medicine, University of Miami, Miami, FL 33136, USA<i>Background and Objectives</i>: Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anesthesia has been requesting validation of practical approach in order to reduce procedure-related pain. In this regard, we performed a comprehensive review of literature regarding pain management in office hysteroscopic procedures. <i>Materials and Methods</i>: MEDLINE, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register), Global Health, Health Technology Assessment Database and Web of Science, other research registers (for example Clinical Trials database) were searched. We searched for all original articles regarding pain relief strategy during office hysteroscopy, without date restriction. Results have been collected and recommendations have been summarized according to the Appraisal of Guidelines for Research and Evaluation (AGREE) tool. Moreover, the strength of each recommendation was scored following the Grading of Recommendations Assessment (GRADE) system, in order to present the best available evidence. <i>Results</i>: Both pharmacological and non-pharmacological strategies for pain management are feasible and can be applied in office setting for hysteroscopic procedures. The selection of strategy should be modulated according to the characteristics of the patient and difficulty of the procedure. <i>Conclusions</i>: Accumulating evidence support the use of pharmacological and other pharmacological-free strategies for reducing pain during office hysteroscopy. Nevertheless, future research priorities should aim to identify the recommended approach (or combined approaches) according to the characteristics of the patient and difficulty of the procedure.https://www.mdpi.com/1648-9144/58/8/1132anxietyoffice hysteroscopyoutpatient hysteroscopypainpractical guidelines |
| spellingShingle | Giovanni Buzzaccarini Luis Alonso Pacheco Amerigo Vitagliano Sergio Haimovich Vito Chiantera Péter Török Salvatore Giovanni Vitale Antonio Simone Laganà Jose Carugno Pain Management during Office Hysteroscopy: An Evidence-Based Approach Medicina anxiety office hysteroscopy outpatient hysteroscopy pain practical guidelines |
| title | Pain Management during Office Hysteroscopy: An Evidence-Based Approach |
| title_full | Pain Management during Office Hysteroscopy: An Evidence-Based Approach |
| title_fullStr | Pain Management during Office Hysteroscopy: An Evidence-Based Approach |
| title_full_unstemmed | Pain Management during Office Hysteroscopy: An Evidence-Based Approach |
| title_short | Pain Management during Office Hysteroscopy: An Evidence-Based Approach |
| title_sort | pain management during office hysteroscopy an evidence based approach |
| topic | anxiety office hysteroscopy outpatient hysteroscopy pain practical guidelines |
| url | https://www.mdpi.com/1648-9144/58/8/1132 |
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