A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope
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...
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2017-11-01
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| Series: | Oman Medical Journal |
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| Online Access: | http://omjournal.org/articleDetails.aspx?coType=1&aId=2070 |
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| author | Kallol Kumar Roy Archana Lingampally Yamini Kansal Juhi Bharti, Sunesh Kumar Perumal Vanamail Seema Singhal Jyoti Meena |
| author_facet | Kallol Kumar Roy Archana Lingampally Yamini Kansal Juhi Bharti, Sunesh Kumar Perumal Vanamail Seema Singhal Jyoti Meena |
| author_sort | Kallol Kumar Roy |
| collection | DOAJ |
| description | 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). The primary outcome measures were pregnancy-related indicators. Secondary outcome measures were the operative parameters (cervical dilatation time, operation time, postoperative pain scores, fluid deficit, and preoperative and postoperative sodium levels), second-look hysteroscopy findings, and improvement in the menstrual pattern after surgery. Results: Cervical dilatation time and pain score 30 minutes after the procedure were significantly lower in the mini-resectoscope group. Out of the total 21 cases with hypomenorrhea, 12 cases (57.1%) started having normal menstrual flow postsurgery. All amenorrheic patients resumed menstruation after surgery. However, nine cases continued to have hypomenorrhea. Over long-term follow-up, 16 patients out of 60 had conceived (seven in the conventional resectoscope group and nine in the mini-resectoscope group). There were three ongoing pregnancies, three abortions, one ectopic pregnancy, and nine term pregnancies. The difference between the two groups was not statistically significant. Conclusions: The use of mini-resectoscope for hysteroscopic adhesiolysis is associated with reduced operative morbidity. Use of the mini-resectoscope is an effective and safe alternative to the conventional system. |
| first_indexed | 2024-12-14T10:14:44Z |
| format | Article |
| id | doaj.art-a8609d8e87c249208bba3e4a64afe78c |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-12-14T10:14:44Z |
| publishDate | 2017-11-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-a8609d8e87c249208bba3e4a64afe78c2022-12-21T23:06:54ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042017-11-0132649249810.5001/omj.2017.94A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscopeKallol Kumar Roy0Archana Lingampally1Yamini Kansal2Juhi Bharti, 3Sunesh Kumar4Perumal Vanamail5Seema Singhal 6Jyoti Meena7Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IndiaObjectives: 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). The primary outcome measures were pregnancy-related indicators. Secondary outcome measures were the operative parameters (cervical dilatation time, operation time, postoperative pain scores, fluid deficit, and preoperative and postoperative sodium levels), second-look hysteroscopy findings, and improvement in the menstrual pattern after surgery. Results: Cervical dilatation time and pain score 30 minutes after the procedure were significantly lower in the mini-resectoscope group. Out of the total 21 cases with hypomenorrhea, 12 cases (57.1%) started having normal menstrual flow postsurgery. All amenorrheic patients resumed menstruation after surgery. However, nine cases continued to have hypomenorrhea. Over long-term follow-up, 16 patients out of 60 had conceived (seven in the conventional resectoscope group and nine in the mini-resectoscope group). There were three ongoing pregnancies, three abortions, one ectopic pregnancy, and nine term pregnancies. The difference between the two groups was not statistically significant. Conclusions: The use of mini-resectoscope for hysteroscopic adhesiolysis is associated with reduced operative morbidity. Use of the mini-resectoscope is an effective and safe alternative to the conventional system.http://omjournal.org/articleDetails.aspx?coType=1&aId=2070Mini-ResectoscopeHysteroscopic AdhesiolysisHysteroscopyInfertile |
| spellingShingle | Kallol Kumar Roy Archana Lingampally Yamini Kansal Juhi Bharti, Sunesh Kumar Perumal Vanamail Seema Singhal Jyoti Meena A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope Oman Medical Journal Mini-Resectoscope Hysteroscopic Adhesiolysis Hysteroscopy Infertile |
| title | A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope |
| title_full | A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope |
| title_fullStr | A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope |
| title_full_unstemmed | A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope |
| title_short | A Pilot Study Comparing Hysteroscopic Adhesiolysis by Conventional Resectoscope Versus Mini-resectoscope |
| title_sort | pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini resectoscope |
| topic | Mini-Resectoscope Hysteroscopic Adhesiolysis Hysteroscopy Infertile |
| url | http://omjournal.org/articleDetails.aspx?coType=1&aId=2070 |
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