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Korean Journal of Obstetrics & Gynecology 2009;52(12):1306-1312.
Published online December 1, 2009.
Broad spectrum of hysteroscopic surgery.
Eun Jeang Jang, Young Gil Moon, Sung Hwan Park, Chul Kim
Department of Obstetrics and Gynecology, Dong-eui Medical Center, Busan, Korea. kcog@freechal.com
Abstract
OBJECTIVE
To evaluate the spectrum of hysteroscopic surgery to be extended. METHODS: Total 1101 women who had undergone hysteroscopic operations with Urione(R) solution and Normal saline as distension media between Feberary 2001 and December 2008 were selected. Clinical characteristics, laboratory data and postoperative result were retrospectively analyzed. RESULTS: Hysteroscopic myomectomy was 884 cases. hysteroscopic polypectomy was 447 cases. Hysteroscopic adhesiolysis was 89 cases. Hysteroscopic adenomyomectomy or adenomyolysis was 66 cases. Hysteroscopic IUD removal was 31 cases. Hysteroscopic ablation for DUB and endometrial hyperplasia was 32 cases. Hysteroscopic septolysis was 18 cases. Hysteroscopic conceptus removal was 6 cases. Mean size of myoma was 3.4 cm. Mean operation time was 47 minutes. Mean deficit of distension media was 193 cc. Average duration of hospitalization was 4.9 days. Average change of Hb. was 1.5 g/dL. Complications of hysteroscopic operation were 16 cases. That is uterine perforation (n=9), hyponatremia (n=2), pulmonary edema (n=2), delayed bleeding (n=2) and bladder perforation (n=1). CONCLUSION: The indication of hysteroscopic op. can be very extended. Pure intramural myoma, subserosal myoma, endometrial polyps, adenomyosis, uterine synechiae, uterine septum, endometrial hyperplasia, DUB and ectopic conceptus can be resected by hysteroscopic operation. Intraoperative ultrasonographic guidance is very important. It makes the complication and morbidity rate to be lower.
Key Words: Hysteroscopy, Myomectomy, Polypectomy, Adhesiolysis, Septolysis


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