RETROSPECT?VE EVALUAT?ON OF HYSTEROSCOP?C SURGERY CASES PERFORMED ?N OUR CL?N?C

Kevser Arkan MD* and Murat Bakacak MD

ABSTRACT

Aim: Is to retrospectively analyze the cases who applied to the obstetrics clinic with various complaints and underwent hysteroscopy (HS) for different indications, to analyze the data such as hysteroscopy indications and complications, and to evaluate the efficacy and safety of hysteroscopy in the light of literatüre. Method: Our study was carried out retrospectively in patients who were in reproductive, peri and postmenopausal periods and underwent hysteroscopy, who applied to our gynecology outpatient clinic and IVF Center. The hysteroscopy indications, peri-post-operative complications, and demographic characteristics of the patients were analyzed using hospital records. The sensitivity and specificity of hysteroscopy were investigated by comparing pre-operative diagnoses with per-operative diagnoses and diagnoses in pathology reports. Results: The mean age of the patients (n=347) included in the study was 32.34±7.71, and their BMI was 24.65±4.54 kg/m2. When evaluated in terms of HS indications, the etiology of infertility was investigated in 222 (64.0%) patients, while in the other patients, myoma uteri 20 (5.8%), abnormal uterine bleeding (AUB) 29 (11.2%) and other reasons, no mortality was observed in 5 patients (%). 1.7) complications were observed. In our study, our hysteroscopy results were evaluated with pathological results and it was determined that the method showed correct results with 89.4% sensitivity and 94.7% specificity in polyps. In myomas, this rate was found to be 93.8% sensitivity and 96.1% specificity. Conclusions: HS allows the detection and treatment of intracavitary and cervical pathologies that may lead to implantation failure, especially in patients who will undergo IVF, and may increase IVF success. In our study, the rate of intrauterine pathology detected in patients who underwent hysteroscopy before IVF was similar to the literature, making us think that these pathologies should be screened and treated before the procedure in recurrent IVF failures.

Keywords: hysteroscopy; infertility; abnormal uterine bleeding.