A pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini-resectoscope
Joint Authors
Roy, Kallol Kumar
Lingampally, Archana
Kansal, Yamini
Bharti, Juhi
Vanamail, Perumal
Singhal, Seema
Meena, Jyoti
Kumar, Sunesh
Source
Issue
Vol. 32, Issue 6 (30 Nov. 2017), pp.492-498, 7 p.
Publisher
Publication Date
2017-11-30
Country of Publication
Oman
No. of Pages
7
Main Subjects
Abstract EN
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 followup, 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.
American Psychological Association (APA)
Roy, Kallol Kumar& Lingampally, Archana& Kansal, Yamini& Bharti, Juhi& Kumar, Sunesh& Vanamail, Perumal…[et al.]. 2017. A pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini-resectoscope. Oman Medical Journal،Vol. 32, no. 6, pp.492-498.
https://search.emarefa.net/detail/BIM-800141
Modern Language Association (MLA)
Roy, Kallol Kumar…[et al.]. A pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini-resectoscope. Oman Medical Journal Vol. 32, no. 6 (Nov. 2017), pp.492-498.
https://search.emarefa.net/detail/BIM-800141
American Medical Association (AMA)
Roy, Kallol Kumar& Lingampally, Archana& Kansal, Yamini& Bharti, Juhi& Kumar, Sunesh& Vanamail, Perumal…[et al.]. A pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini-resectoscope. Oman Medical Journal. 2017. Vol. 32, no. 6, pp.492-498.
https://search.emarefa.net/detail/BIM-800141
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 498
Record ID
BIM-800141