الفهرس | Only 14 pages are availabe for public view |
Abstract is an important component of the strategy for evaluation of the uterus in women with abnormal uterine bleeding, infertility, and recurrent pregnancy loss, and is essential for performance of many minimally invasive intrauterine therapeutic interventions including metroplasty, transcervical sterilization, lysis of adhesions, retrieval of foreign bodies, and excision of polyps and submucousmyomas. Although for a number of years, many clinicians have successfully performed hysteroscopic procedures in the office setting with no or local anesthesia, most continue to provide these services in the context of an institutional operating room setting, usually with the support of an anesthesiologist providing some type of conscious sedation, or regional or general anesthesia. The direct and the indirect costs of performing such procedures in resource-intense environments, along with greater recognition of the risk of general anesthesia, has generated an increased interest in the performance of hysteroscopy in the office setting using local anesthesia. Although safe, studies of the acceptability of outpatient hysteroscopy have displayed various completion rates, ranging between 77% and 97.2%. |