Document Detail

Operative Hysteroscopy in an Office-Based Surgical Setting: Review of Patient Safety and Satisfaction in 414 Cases.
MedLine Citation:
PMID:  23107759     Owner:  NLM     Status:  Publisher    
STUDY OBJECTIVE: To determine the safety and satisfaction among patients undergoing operative hysteroscopy in an office-based setting. DESIGN: Retrospective analysis (Canadian Task Force classification II-2). SETTING: Physician's private office. PATIENTS: Women undergoing operative hysteroscopy in an office setting. INTERVENTIONS: Three hundred eighty-seven women underwent a total of 414 operative hysteroscopic procedures, with use of parenterally administered moderate sedation, a 9-mm operative resectoscope, and sonographic guidance. All patients were American Society of Anesthesiologists class I-III. MEASUREMENTS AND MAIN RESULTS: A total of 305 primary operative hysteroscopic procedures were performed including endomyometrial resection, myomectomy, polypectomy, removal of a uterine septum, and adhesiolysis. One hundred nine (26.3%) repeat operative procedures were performed in women in whom previous endometrial ablation and resection had failed. The average procedure required a mean (SD) of 37.6 (13.5) minutes to complete, and produced 14.1 (10.2) g of tissue. Ninety-nine percent of all procedures were completed. Only 1 patient required a hospital transfer for evaluation of a uterine perforation necessitating diagnostic laparoscopy. There were 8 (1.9%) postoperative infections, and no complications attributable to use of conscious sedation. Two hundred fifty-five women (65.6%) responded to our telephone survey. Two hundred fifty-two (98.8%) respondents were either "very satisfied" or "satisfied." Two hundred forty-nine women (97.6%) preferred the office to a hospital setting, whereas 6 (2.4%) would have preferred a hospital setting. All but 5 respondents would recommend this procedure to a friend. CONCLUSION: Major operative hysteroscopic surgery can be performed in an office-based setting with a high degree of safety and patient satisfaction.
Morris Wortman; Amy Daggett; Courtney Ball
Related Documents :
24412939 - Axillary thoracotomy.
24666869 - Ligaments of the rectum: anatomical and surgical considerations.
24771129 - Perineal stapled prolapse resection (pspr) in elderly patients for external rectal prol...
24928229 - An initial experience with 85 consecutive robotic-assisted rectal dissections: improved...
24362919 - The adductor tubercle as an important landmark to determine the joint line level in tot...
9232699 - Percutaneous sclerotherapy of venous malformations of the head and neck using sodium te...
3946759 - Total gastrectomy with esophagojejunostomy. analysis of 100 consecutive patients.
19719859 - Laparoscopic removal of local renal cell carcinoma recurrence.
2025729 - Management importance of common treatments: contribution of top 20 procedures to surgic...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-27
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  -     ISSN:  1553-4669     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.
Center for Menstrual Disorders and Reproductive Choice, University of Rochester Medical Center, Rochester, New York. Electronic address:
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Tea consumption reduces ovarian cancer risk.
Next Document:  Interactions of DMPC and DMPC/Gemini liposomes with the cell membrane investigated by electrorotatio...