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[Importance of operative hysteroscopy in the treatment of intrauterine pathology: method of first choice].

OBJECTIVE
To demonstrate the possibilities of hysteroscopic procedures and transcervical surgery in the management of intrauterine pathology.


DESIGN
Retrospective study.


SETTING
Department of Obstetrics and Gynecology, 1st Faculty of General Medicine and General Faculty Hospital, Prague, Apolinárská 18, Czech Republic.


METHODS
Retrospective analysis of hysteroscopic procedures.


RESULTS
In the period 1994-1998 we performed 1410 hysteroscopic procedures. We registered an increase of operative hysteroscopic procedures--from 6.8% in 1995 to 24.5% in 1998. We registered 4 perioperative complications--in 1 case "fluid overload syndrome", in 2 cases perforation of the posterior vaginal fornix during dilatation of the cervix after its conisation and in 1 case perforation of the anterior uterine wall. These complications were not treated by any further major surgical intervention. In 91.3% we were able to solve the intrauterine pathology immediately in a one-step hysteroscopic procedure.


CONCLUSIONS
Our results are positive and demonstrate the role and advantages of operative hysteroscopy in the management of intrauterine pathology.