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At least 379 records · Page 21Linked to original sources
PubMed1987

Routine hysteroscopy in infertility?

Fifty patients from the infertility Clinic at Groote Schuur Hospital who underwent laparoscopy as part of their work-up had a routine hysteroscopy at the same time, with the Hamou II hysteroscope. In all cases carbon dioxide was used as the distending medium. Only 4 patients had abnormalities detected by hysteroscopy. Three out of those 4 abnormalities could have been diagnosed by hysterosalpingography. Compared with hysteroscopy the diagnostic value of hysterosalpingography as a routine screening procedure was found to be adequate.

Adult↗
PubMed1986

Transcervical resection of submucous myoma.

Thirteen women with chief complaints of menorrhagia and metrorrhagia underwent transcervical resection (TCR) of pedunculated submucous myoma using either an operating hysteroscope or urologic resectoscope. Eight women received TCR with a urologic resectoscope without further operation. Subsequent vaginal hysterectomy was performed on one woman after TCR of a large prolapsed submucous fibroid with a urologic resectoscope because of adenomyosis. Three women underwent TCR of the same type of large prolapsed submucous myoma with an operating hysteroscope. Later, due to other pathologic lesions of the uterus, subsequent vaginal hysterectomies were done on two women and a subsequent abdominal hysterectomy on another woman. Without TCR of these large prolapsed submucous myoma, subsequent vaginal hysterectomies were not possible. Only one woman underwent TCR of submucous myoma with an operating hysteroscope without further operation. All patients showed improvement in such clinical symptoms as menorrhagia, metrorrhagia, and anemia. Before TCR, we make it a rule to use a new diagnostic hysteroscope (4mm external sheath) to reevaluate the position and size of the fibroid. The fluid media used were 10% dextrose for diagnostic hysteroscopy, 5% dextrose for therapeutic hysteroscopy and 10% urigal for urologic resectoscopy. Three months after the operation, second look hysteroscopy is arranged. All patients except one have been followed up at our outpatient department.

Adult↗
PubMed1986

[Place of endoscopy in anorectal malformations].

Miniaturised cystoscope allows exploration in neonates, but in males, it may be difficult and dangerous. Recto-urinary fistulae are generally recto-prostatic, seldom recto-bulbar. Recto-vesical cases were not observed. The fistulous orifice is quite always small and its form is round or ovoid. An anfranctuous and large orifice may be of iatrogenic origin. Endoscopic examination is mandatory when recto-urinary fistula is clinically or radiologically suspected and is always necessary before surgery of cloaca or secondary operation for ano-rectal malformations.

Abnormalities, Multiple↗
PubMed1985

Accurate diagnosis of early ectopic pregnancy.

Commonly used preoperative diagnostic procedures were analyzed for their ability to predict the presence of early ectopic pregnancy. Patients presenting to the emergency room with acute onset of pelvic pain were evaluated with culdocentesis, pelvic ultrasonography, and qualitative serum and urine pregnancy testing. Clinical examination and urine pregnancy testing were found to be poor predictors of either the presence or absence of an early ectopic pregnancy. The combination of a sensitive serum human chorionic gonadotropin (hCG) determination and pelvic ultrasonography accurately predicted ectopic pregnancy in 93% of proved cases. This predicted accuracy was superior to that of culdocentesis alone or in combinations of culdocentesis and ultrasound or qualitative serum pregnancy testing.

Adult↗
PubMed1985

A comprehensive review of female sterilisation--tubal occlusion methods.

Female sterilisation using tubal occlusive methods are reviewed. The various techniques, failure rates, mortality, short and long-term morbidity, psychosexual effects and reversibility are discussed. Tubal occlusion is an effective method of female sterilisation but if failure should occur ectopic pregnancies are more likely if tubal diathermy, and less likely if Fallope rings or Filshie clips have been used for the original sterilisation procedure. Mortality rates are low and occur as a once-only risk when compared to ongoing contraception. Short-term morbidity rates are low when sterilisation is performed via the laparoscope, with single portal entry being more likely to result in complications. Mini-laparotomy and laparotomy also have low morbidity levels but complication rates are much higher when a transvaginal approach is used. There is no increase in morbidity when tubal sterilisation is performed at the time of pregnancy termination, providing uterine evacuation is not performed by hysterotomy. In the majority of cases no menstrual disturbance is noted; however, a small increase in menstrual disorders as a direct result of tubal sterilisation cannot be excluded absolutely. Sterilisation does not affect sexual satisfaction. Regret is more likely if the sterilisation is performed (i) post-termination or in the puerperium, (ii) when there is marital disharmony and (iii) for medical rather than social reasons. Low parity is not associated with regret except in cultures where high parity is prized. Microsurgical methods of reversal have higher pregnancy and lower ectopic rates than macrosurgical techniques. Successful reversal is inversely related to the degree of tubal destruction at the initial operation.

Abortion, Legal↗
PubMed1985

Usefulness of hysteroscopy for detection of cancer in the endocervical canal.

Preoperative hysteroscopic and histologic findings of endocervical cancerous lesions were compared with postoperative histologic findings of cervices. A total of 132 patients consisting of 72 carcinoma in situ, 16 microinvasive carcinoma and 44 invasive squamous cell carcinoma were examined during the 5 years beginning in 1977. The rates of cancerous lesions observed in the endocervix were 33.3% carcinoma in situ, 56.2% microinvasive carcinoma and 72.8% invasive squamous cell carcinoma. The preoperative diagnoses of endocervical lesions were histologically identical with the postoperative ones in 24 (88.9%) of 27 cases of carcinoma in situ, 7 (87.5%) of 8 cases of microinvasive carcinoma and all of 30 cases of invasive squamous cell carcinoma. Mosaics and punctations were noticed in the endocervix near the external os in the early stage of cancer, whereas white epithelia were observed more frequently and, over a wide range in the endocervix. Abnormal gland openings were noticed predominantly in carcinoma in situ. Atypical vessels were recognized mainly in microinvasive carcinoma. Gross irregular and dilated atypical vessels were recognized mainly in microinvasive carcinoma. Gross irregular and dilated atypical vessels, opacity, irregular surface and necrosis were observed predominantly in invasive carcinoma. In conclusion, hysteroscopy is useful in detecting cancerous lesions located in the endocervical canal.

Carcinoma in Situ↗