EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

RETROSPECT?VE EVALUAT?ON OF HYSTEROSCOP?C SURGERY CASES PERFORMED ?N OUR CL?N?C

Kevser Arkan MD* and Murat Bakacak MD

ABSTRACT

Aim: Is to retrospectively analyze the cases who applied to the obstetrics clinic with various complaints and underwent hysteroscopy (HS) for different indications, to analyze the data such as hysteroscopy indications and complications, and to evaluate the efficacy and safety of hysteroscopy in the light of literatüre. Method: Our study was carried out retrospectively in patients who were in reproductive, peri and postmenopausal periods and underwent hysteroscopy, who applied to our gynecology outpatient clinic and IVF Center. The hysteroscopy indications, peri-post-operative complications, and demographic characteristics of the patients were analyzed using hospital records. The sensitivity and specificity of hysteroscopy were investigated by comparing pre-operative diagnoses with per-operative diagnoses and diagnoses in pathology reports. Results: The mean age of the patients (n=347) included in the study was 32.34±7.71, and their BMI was 24.65±4.54 kg/m2. When evaluated in terms of HS indications, the etiology of infertility was investigated in 222 (64.0%) patients, while in the other patients, myoma uteri 20 (5.8%), abnormal uterine bleeding (AUB) 29 (11.2%) and other reasons, no mortality was observed in 5 patients (%). 1.7) complications were observed. In our study, our hysteroscopy results were evaluated with pathological results and it was determined that the method showed correct results with 89.4% sensitivity and 94.7% specificity in polyps. In myomas, this rate was found to be 93.8% sensitivity and 96.1% specificity. Conclusions: HS allows the detection and treatment of intracavitary and cervical pathologies that may lead to implantation failure, especially in patients who will undergo IVF, and may increase IVF success. In our study, the rate of intrauterine pathology detected in patients who underwent hysteroscopy before IVF was similar to the literature, making us think that these pathologies should be screened and treated before the procedure in recurrent IVF failures.

Keywords: hysteroscopy; infertility; abnormal uterine bleeding.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia