- A Clinical Usefulness of Office Hysteroscopy.
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Min Whan Koh, Tae Hyung Lee, Jeong Suk Kim, Yoon Young Choi, Sang Hoon Jeong
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Yeungnam Univ J Med. 2005;22(1):81-89. Published online June 30, 2005
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DOI: https://doi.org/10.12701/yujm.2005.22.1.81
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 Abstract
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- BACKGROUND
Hysteroscopy is considered to be the gold standard not only for visualizing the cervical canal and the uterine cavity, but also for treating many different types of benign pathologies localized to those regions. The advent and evolution of endoscopic imaging and surgery during the last two decades has added new dimensions to the armamentarium of a gynecologist to combat intrauterine lesions. Office hysteroscopy is increasingly being used as a first line investigation for abnormal uterine bleeding and other diseases involving the uterine cavity. The aim of our study is to assess the diagnostic and operative efficacy of office hysteroscopy. MATERIALS AND METHODS: In our department, 140 patients underwent a hysteroscopy examination and 18 of these underwent an office based hysteroscopy examination from September 1995 to March 2005. The cases who underwent an office based hysteroscopy examination were reviewed in order to assess the clinical usefulness and significance in the management of intrauterine lesions. RESULTS: Major indication was abnormal uterine bleeding (12 cases, 66.7%). The others were a missed IUD and infertility. The hysteroscopic findings were a normal uterine cavity (6 cases, 33.3%), IUD in situ, polyp, submucosal myoma, endometrial hyperplasia and a placenta remnant. CONCLUSION: Office hysteroscopy is a safe, quick and effective method for making an intrauterine evaluation. In addition, it provides immediate results, offers the capacity of direct targeted biopsies of suspicious focal lesions, and offers the direct treatment of some intrauterine conditions.
- A Case of Spontaneous Uterine Rupture of the Unscarred Uterus in 14 Weeks Gestation.
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Jeong Suk Kim, Jin Hee Kim, Yeun Kyoung Bae, Yoon Ki Park
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Yeungnam Univ J Med. 2004;21(2):251-255. Published online December 31, 2004
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DOI: https://doi.org/10.12701/yujm.2004.21.2.251
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Abstract
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- Spontaneous uterine rupture of the unscarred uterus during the second trimester of pregnancy is rare, but it is a surgical emergency. Because it results in rapid deterioration of patient and high mortality despite of prompt operation and massive transfusion, early diagnosis and proper management are critical for optimizing patient care. We present a case of spontaneous uterine rupture with fetal death in 14 weeks gestation with a brief review of literatures.
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Yeungnam University College of Medicine
