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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

CARVAJAL G, Rodrigo et al. Abordaje vaginoscópica para la realización de histeroscopía oficinal: experiencia, resultados y revisión de la literatura. Rev. chil. obstet. ginecol. [online]. 2015, vol.80, n.2, pp.119-125. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262015000200004.

Objective: To present our experience and a review of the literature of the vaginohysteroscopic technique. To describe the main indications, the tolerance, the procedures performed and their complications. Method: This is a descriptive study of all outpatient procedures performed with the vaginohysteroscopic technique in the Reproductive Medicine and Infertility Unit of the Department of Obstetrics and Gynecology at University Hospital of Chile between 1st January of 2008 and 31st January of 2014. Results: A total of 632 vaginohysteroscopys were performed: 63.7% diagnostic and 36.2% surgical. The average procedure time was 13 ± 8 minutes. Pain showed a median of VAS of 4. The main indication was suspected endometrial polyps (33%) and endometrial thickening (12%). The most frequent finding was normal endometrial cavity (27%) and endometrial polyps (27%). The most common procedures were polypectomy (27%) and endometrial biopsies (20%). We registered 17 complications (2.6%): 14 vasovagal reactions (2.2%) and 3 lipothymias (0.4%). Conclusions: vaginohisteroscopy approach has proven to be a safe and very resolutive technique, well tolerated by patients and considerably cost-effective.

Palabras clave : Vaginohysteroscopy; office hysteroscopy; outpatient hysteroscopy; diagnostic hysteroscopy.

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