Three Thousand Cases of Office Hysteroscopy: See and Treat an Indian Experience

Telang, M.; Shetty, Theertha; Puntambekar, S.; Telang, P.; Panchal, Shakti; Alnure, Yogita

doi:10.1007/s13224-020-01334-4

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…Of these, 290 studies did not match the eligibility criteria, and 16 full‐text studies were shortlisted. Nine studies were excluded due to different study designs, different operative techniques, the use of different distention media, or different outcome measures 9,17–24 . Finally, seven randomized controlled trials 8,10,11,25–28 were included in qualitative synthesis (systematic review) and meta‐analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies were excluded due to different study designs, different operative techniques, the use of different distention media, or different outcome measures. 9,[17][18][19][20][21][22][23][24] Finally, seven randomized controlled trials 8,10,11,[25][26][27][28] were included in qualitative synthesis (systematic review) and meta-analysis.…”

Section: Study Selectionmentioning

confidence: 99%

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Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta‐analysis

Khoiwal

Zaman

Bahurupi

et al. 2023

Intl J Gynecology & Obste

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BackgroundOutpatient hysteroscopy is a safe, feasible, and optimum procedure for the diagnosis and management of intrauterine pathologies.ObjectiveTo determine the best approach of outpatient hysteroscopy (vaginoscopic vs traditional) in terms of pain, duration of procedure, feasibility, safety, and acceptability.Search StrategyPubMed, Embase, Google Scholar, and Scopus were searched from January 2000 to October 2021. No filters or restrictions were applied.Selection CriteriaRandomized controlled trials comparing vaginoscopic hysteroscopy with traditional hysteroscopy in an outpatient setting.Data Collection and AnalysisTwo authors independently performed a comprehensive literature search and collected and extracted data. The summary effect estimate was determined using both fixed effects and random‐effects models.ResultsSeven studies with 2723 patients (vaginoscopic [n = 1378] and traditional hysteroscopy [n = 1345]) were included. Vaginoscopic hysteroscopy was associated with a significant reduction in intraprocedural pain (standardized mean difference, −0.05 [95% confidence interval (CI), −0.33 to −0.23], I2 = 0%), procedural time (standardized mean difference, −0.45 [95% CI, −0.76 to −0.14], I2 = 82%), and fewer side effects (relative risk, 0.37 [95% CI, 0.15–0.91], I2 = 0%). The procedure failure rate was similar in both approaches (relative risk, 0.97 [95% CI, 0.71–1.32], I2 = 43%). Complications were mostly documented with traditional hysteroscopy.ConclusionVaginoscopic hysteroscopy reduces the pain and duration compared with traditional hysteroscopy.

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Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta‐analysis

Khoiwal

Zaman

Bahurupi

et al. 2023

Intl J Gynecology & Obste

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“…A recent meta‐analysis by De Silva et al in 2020 6 calculated an overall success rate of 95% for vaginoscopic hysteroscopy. Three Indian studies in this regard by Misra et al, 7 Telang et al, 8 and Gupta et al 9 have reported success rates of 79%, 98.66%, and 83%, respectively. VAGI was successful in 80% of cases, which is comparable to the cited literature, but CVH was successful in only 33.3% cases.…”

Section: Discussionmentioning

confidence: 98%

A novel technique of vagino‐hysteroscopy using alginate gel interface: A proof of concept study

Kalra¹,

Jain²,

Rajaram³

et al. 2023

Intl J Gynecology & Obste

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In 1996, Bettocchi et al. 1 ushered in "a new era of office hysteroscopy" by introducing the vaginoscopic approach, obviating the need for preliminary instrumentation or local anesthesia. The vaginoscopic "no-touch" approach is considered superior to the standard speculum approach in terms of patient tolerability, 2 success rates, and operative time. 3 The reported success rate of standard vaginoscopic technique ranges from 80% to 90% in various studies.The main reasons reported for failure of the standard vaginoscopic technique are cervical stenosis and sub-optimal visualization due to leakage of distension medium especially in women with patulous

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An Overview of Office Hysteroscopy

Wright,

Hamilton,

Kosturakis

2024

Curr Obstet Gynecol Rep

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Purpose of Review Office hysteroscopy (OH) is safe and effective for diagnosing and managing intrauterine pathology. Newer technology like smaller cameras, improved tissue removal devices, and recommendations for pain control now make OH comfortable for both the physician and patient, with OH having a very high level of patient satisfaction. Despite these benefits, OH remains significantly underutilized in the United States. This review aims to outline the current capabilities, technology, and patient and physician factors associated with successful OH. Recent Findings OH aids in the diagnosis of abnormal uterine bleeding, the most common reason for visits to the gynecologist, and can treat some causes in the same visit. Pathology most conducive to treatment with OH includes endometrial polyps, uterine septa, retained products of pregnancy, adhesions, and retained intrauterine devices (IUDs). When performing OH, equipment selection should be based on the type of procedure planned. Care should be taken to attempt to reduce pain and anxiety during OH, with recommended methods including preprocedural NSAIDs, vaginoscopy, and appropriate counseling and anxiety reduction. Summary Appropriate patient selection is essential for both patient and physician comfort when performing OH. Further research and technology improvement can continue to increase comfort and performance in the office.

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Three Thousand Cases of Office Hysteroscopy: See and Treat an Indian Experience

Abstract: Study Objective Assessment of feasibility of office hysteroscopy in Indian setting. Design Retrospective study design. Setting Tertiary care centre: Galaxy care Hospital,

Cited by 4 publications

References 17 publications

Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta‐analysis

Comparison of vaginoscopic hysteroscopy and traditional hysteroscopy: A systematic review and meta‐analysis

A novel technique of vagino‐hysteroscopy using alginate gel interface: A proof of concept study

An Overview of Office Hysteroscopy

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