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10.5005/jp-journals-10033-1233
Role of Hysteroscopy in Gynecological Conditions
PrOSPective cLinicaL Study

Role of Hysteroscopy in Gynecological Conditions

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1 Prachi Arora, Suman Lata Mendiratta, Meenakshi Mittal, Prabha Kumari
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ABSTRACT and functional changes in the organ more accurately.
Introduction: Hysteroscopy offers a valuable extension of the Evaluation of the epithelial surfaces of endocervical canal
gynecologist armamentarium, as uterine cavity can be explored and endometrium, internal os, shape of the uterine cavity,
in detail for making exact diagnosis. Hysteroscopy can be used tubal ostia is needed for proper diagnosis and obser-
for diagnosis as well as management of various gynecolo-
gical problems. A study was conducted to evaluate the role of vation of histological changes during menstrual cycle.
hysteroscopy in gynecological conditions. The curette has been the main tool in the hands of
Materials and methods: A prospective clinical study was con- the gynecologist to feel and search for pathology in the
ducted in the Department of Gynecology, Hindu Rao Hospital. ute rine cavity. Hysteroscopy can be considered as a
Total 69 patients with abnormal uterine bleeding attending
gynecology outpatient department were selected and subjected perfected curettage which can see and decide, because
to hysteroscopic exami nation after detail history, examination the uterine cavity can be observed and the area in ques-
and consent. Subjects were divided into six groups as per their tion can be curettaged under direct vision. It also helps
history and examination. in avoiding the risks and difficulties of the alternative
Observation: In group I (DUB) 40.5%, in group II (infertility)
21.7%, in group III (postmenopausal bleeding) 11.6%, in group IV investigating procedures. After hysteroscopy the elective
(suspected leiomyoma) 11.6%, in group V (lost IUCD) 7.3% and surgery of the patient can be better planned.
in group VI (secondary amenorrhea) 7.3% patients were there. The hysteroscopy can be used in the diagnosis and
Abnormal hysteroscopic findings were observed as follows, in
group I: 85.71%, group II: 80%, group III: 80%, group IV: 62.5%, treatment of gynecological patients which includes evalua-
group V: 60%, group VI: 60% had. Out of 69 patients, in 73.91% tion of abnormal uterine bleeding, uterine anomalies,
patient’s intrauterine pathology was seen on hysteroscopic abnormal hysterograms, and management of intrauterine
examination. In our study commonest cause of abnormal blee - adhesion, location and removal of misplaced IUDs, biopsy
ding was endometrial hyperplasia (28.5%), endometrial
polyp (18%), proliferative endometrium (28.59%), endocervical of potentially malignant lesions, verification of results of
polyp (3.6%), submucous myoma (3.6%) and atrophic endo- treatment. Performing a biopsy under vision gives a more
metrium (3.6%) patients. In patients with lost IUCD, removal of accurate diagnosis. Therapeutic hysteroscopy is utilized
IUCD was done and adhesionolysis was performed in patient
with secondary amenorrhea. in the removal of submucous leimyomas, thick connec-
Conclusion: Hysteroscopy is simple, safe, quick, and econo- tive tissue adhesions, uterine septae, tubal insufflations
mical technique which allows exploration of uterine cavity in and sterilization by tubal coagulation. The present study
precise manner with speed and safety. Diagnostic and operative aims to evaluate the role of hysteroscopy in gyneco-
procedures can be performed in the same time. logy as an inexpensive, easy, diagnostic procedure by
Keywords: Hysteroscopy, Endometrial cavity, Dysfunctional
uterine bleeding, Submucous myoma, Endometrial polyp. which pathological lesion can be directly visualized and
How to cite this article: Arora P, Mendiratta SL, Mittal M, Kumari P. managed especially, where there is difficulty in visua­
Role of Hysteroscopy in Gynecological Conditions. World J Lap lizing and reaching the diagnosis otherwise.
Surg 2014;7(3):129-132.
Source of support: Nil MATERiALS And METHodS
Conflict of interest: None This study was conducted in the Department of obstetrics

and gynecology of Hindu Rao Hospital, New Delhi, over
inTRoduCTion
a period of 1 year after obtaining approval ethical clea-
Endoscopy has helped the medical science to improve and rance. The cases were selected from outpatient depart-
make more accurate diagnosis. It can pick up morpholo gical ment as well as those, admitted in gynecology wards.
A total of 69 patients were included in the study and
these patients were classified into 6 groups (Table 1) as
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1 Junior Resident, Consultant, Medical Officer per their clinical history and diagnosis as follows:
3,4
1-4 Department of Obstetrics and Gynecology, Hindu Rao Group I: Dysfunctional uterine bleeding

Hospital, New Delhi, India Group II: Infertility
Corresponding Author: Suman Lata Mendiratta, Consultant Group III: Postmenopausal bleeding
Department of Obstetrics and Gynecology, A-3/224 Janak Puri Group IV: Suspected leiomyoma uteri
New Delhi, India, Phone: 23831937, e-mail: sumanmendi@ Group V: Lost IUDs with missing filament
yahoo.co.in
Group VI: Secondary amenorrhea.
World Journal of Laparoscopic Surgery, September-December 2014;7(3):129-132 129