Histeroscopia en consulta: análisis de 5.000 pacientes

Abstract

Objective To assess the reliability, feasibility and safety of outpatient hysteroscopy. Material and method We performed a retrospective study of 5000 outpatient hysteroscopies performed between June 2003 and April 2008. All hysteroscopies were performed using a vaginoscopic approach and saline to distend the uterus. The indications, type of surgery, and success, failure and complication rates were analyzed. Results The hysteroscopies were successfully performed in nearly 97% of the patients. Severe pain and vasovagal syndrome occurred in 4% and 1.4% of the women, respectively. The most common indication was abnormal uterine bleeding and the most common diagnosis was endometrial polyps. Outpatient hysteroscopy was carried out in 60% of the patients. The most frequent type of surgery was hysteroscopic polypectomy (64%). Perforation and inflammatory disease rates were 0% and 0.08%, respectively. Conclusions Outpatient hysteroscopy is a well tolerated, effective and safe procedure. The combination of small-diameter hysteroscope and bipolar energy allows intrauterine disorders to be treated in the office setting without anesthesia.