Rehana Kanwal, Nilofar Mustafa, Maimoona Hafeez, Faisal Ashraf, Shazia Tazion, Qudsia Nawaz.
Role of hysteroscopic techniques in the treatment of female genital pathology.
J Allama Iqbal Med Coll Nov ;19(4):937-6.

Background: Hysteroscopy is visualization in the endometrial cavity with a telescope. A camera is commonly attached to the proximal end of the hysteroscope that is a telescope for viewing on the screen. Uterine cavity is distended with the medium for visualization different distension medias are used depends upon whether doing diagonastic or operative hysteroscopy and it is performed without anaesthesia when vaginal distension is done with the same media by occluding the vaginal orifice with closure of both labias by assistant then there will be no need for use of sim speculum and tinaculum. Where there is a need for operative hysteroscopy general anesthesia is preferred until any concomitant health issue. Methods: This was a retrospective study which presents the results of hysteroscopic treatment of various gynecological diseases in Hameed Latif Hospital Lahore period from 2016 to 2020. Total 210 cases were enrolled. 190 underwent hysteroscopic surgery in general anesthesia and 20 cases underwent hystroscopic suregery without anesthesia. The results were statistically analyzed Results: Total number of patients is 210. The incidence is highest in the age 28-50 years (80%). Endometrial polyp is the most common pathological condition in 78%, myoma submucosal in 8%, extraction of IUD 7%, septum uteri 5% cavity formation for Asherman syndrome is 1%, removal of calcification 1% Conclusions: Conclusions: Hystroscopy is only available treatment for intra uterine pathology without opening the peritoneal cavity so as to avoid major surgical procedure and at the same time minimal invasion to the uterus with better treatment outcome particularly in subfertility. It leads to fast recovery and reduce hospital stay with cost affectiveness. It has totally replaced D&C in abnormal uterine bleeding and polyps.

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