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2020 Month : June Volume : 9 Issue : 26 Page : 1890-1894

Operative Hysteroscopy in Infertility Patients and Its Complications.

Kriti Sahu1, Beena Kumari2

Corresponding Author:
Dr. Kriti Sahu,
Room No. 3, 4th Floor,
Dr. Babasaheb Ambedkar Memorial
Hospital, Central Railway,
Near Ranibaug, Byculla East, Mumbai,
Maharashtra, India.
E-mail: kriti.sahu2001@gmail.com

ABSTRACT

BACKGROUND

The problem of infertility is increasing over the years and so are the couples seeking medical help for it. Estimates of infertility in India goes to around 10 - 15 percent. Hence evaluation of the couple with the help of history and accompanying investigations are foremost required. Various modalities are available for identifying the cause. One such cause is abnormalities in the uterine cavity. This step is important because its inner layer, called endometrium is responsible for implantation of the embryo in the blastocyst stage. For such assessment of the uterine cavity, the gold standard procedure is the diagnostic hysteroscopy. It involves direct visualization of the cavity and simultaneous correction of the intrauterine pathology. Hysteroscopy is a simple procedure with low risk of complication; moreover, complications occur with operative procedures most commonly. This study aims to evaluate these complications and critically appraise the changes in trend of complications.

METHODS

This is an observational study. Study included 32 patients with infertility undergoing operative hysteroscopy at obstetrics and gynaecology department in our hospital.

RESULTS

Among the 32 patients, the most common hysteroscopic procedure was lateral wall metroplasty (40.6%) followed by septal resection (25%). Polypectomy, adhesiolysis and tubal cannulation. Complication rate was 6.25 percent, among which post-op infection and bleeding per vaginum were the most important.

CONCLUSIONS

Intraoperative complications found in our study are comparable to other studies and largely preventable. Hence operative hysteroscopy is a safe procedure.

KEY WORDS

Operative Hysteroscopy, Lateral Wall Metroplasty, Septal Resection

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