Gynecology Oncology
Maryam Talayeh; Maliheh Arab; Somayyeh Noei Teymoordash; Noushin Afsharmoghadam; Masoomeh Raoufi; Behnaz Ghavami; Mahsa Asghari
Volume 7, Issue 6 , September and October 2022, , Pages 569-573
Abstract
Endometrial stromal sarcoma is a rare condition, constituting nearly 0.2% of all reproductive tract malignancies. The condition mainly affects the peri-menopausal population; however, it can occasionally be found in younger women and adolescents. Here, this is a case of a 20-year-old primiparous ...
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Endometrial stromal sarcoma is a rare condition, constituting nearly 0.2% of all reproductive tract malignancies. The condition mainly affects the peri-menopausal population; however, it can occasionally be found in younger women and adolescents. Here, this is a case of a 20-year-old primiparous female who was referred to us with the main complaint of vaginal bleeding (menometrorrhagia), ongoing for 6 months after delivery. Her sonography report indicated a 5 cm intra-cavitary mass suspicious for myoma or placental polyp. Given the pathology report of low-grade endometrial stromal sarcoma (LGESS) on samples obtained through hysteroscopy and D&C, she underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH+BSO). Endometrial stromal sarcoma is a rare uterine malignancy of mesenchymal origin that should be considered, even in very young patients.
Obstetrics and Gynecology
Zahra Rezaei; SeyedeMahsa Hadifar
Volume 5, Issue 3 , November 2020, , Pages 80-83
Abstract
Background and objective: Current study was conducted to determine the effects of Oxytocin drip on operative blood loss and fluid overload during hysteroscopy.Materials and Methods: In this double-blind randomized clinical trial, 54 women with abnormal uterine bleeding who were candidates for ...
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Background and objective: Current study was conducted to determine the effects of Oxytocin drip on operative blood loss and fluid overload during hysteroscopy.Materials and Methods: In this double-blind randomized clinical trial, 54 women with abnormal uterine bleeding who were candidates for hysteroscopy were consecutively enrolled and randomly assigned to receive either oxytocin or normal saline and the alterations in serum hemoglobin, sodium, albumin, and hematocrit were compared between two groups.Results: The results demonstrated that alterations in serum hemoglobin, sodium, albumin, and hematocrit did not significantly differ between the two groups (P < /em>>0.05).Conclusion: It seems using oxytocin drip during hysteroscopy in patients with intrauterine lesions would have no effect on operative blood loss and fluid overload.
Obstetrics and Gynecology
Mehrnaz Valadan; Mohadeseh Mojarad; Elham Feizabad
Volume 5, Issue 3 , November 2020, , Pages 88-92
Abstract
Background & Objective: Hysteroscopy is an impressive diagnostic and therapeutic procedure for uterine cavity abnormalities. There are several methods for cervical preparation prior to hysteroscopy, among which misoprostol (a prostaglandin E1 analog) is the most common. However, misoprostol ...
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Background & Objective: Hysteroscopy is an impressive diagnostic and therapeutic procedure for uterine cavity abnormalities. There are several methods for cervical preparation prior to hysteroscopy, among which misoprostol (a prostaglandin E1 analog) is the most common. However, misoprostol has some side effects, including uterine cramps, vaginal hemorrhage, nausea, vomiting, and fever-like feelings, the severity of which escalates by increasing the dosage. Therefore, in this study, we aimed to compare vaginal misoprostol in two different dosages of 200 and 400 μg with a control group to prescribe the lower dosage of misoprostol in case they were equally effective.Materials & Methods: In this randomized clinical trial study, 87 patients, who had hysteroscopy indications at Yas Hospital, were randomly assigned into three groups (i.e., 200 μg vaginal misoprostol, 400 μg vaginal misoprostol, and placebo). Afterward, the dilatation time of the cervical response and side effects associated with medication and surgery were assessed.Results: The mean dilatation time in the 200 μg misoprostol, 400 μg misoprostol, and placebo groups were 46.7±35.8, 36.8±31.1, and 67.6±49.5 seconds, respectively. These differences were significant (P=0.038). Conclusion: It seems that administering vaginal misoprostol is an easy, effective, and safe procedure for cervical preparation before the hysteroscopy. Considering that increasing the dosage of misoprostol did not significantly change the dilatation time, it is recommended that 200 μg misoprostol be used to reduce the side effects.
Waleed El-Khayat; Fatmafaisal Ibraheem; Amal Mohsen Ahmed; Ashraf Abdelrahman Ramadan; Sara E Khalifa; Mohammed Faisal Ebrahim
Volume 2, Issue 2 , May and June 2017
Abstract
Background: Abnormal uterine bleeding is a very common gynecological problem, especially in perimenopausal women. Intracavitary lesions have been reported in more than 40% of the referred patients.
Objectives: To compare the diagnostic accuracy of 3-dimensional sonohysterography (3D-SHG) versus hysteroscopy ...
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Background: Abnormal uterine bleeding is a very common gynecological problem, especially in perimenopausal women. Intracavitary lesions have been reported in more than 40% of the referred patients.
Objectives: To compare the diagnostic accuracy of 3-dimensional sonohysterography (3D-SHG) versus hysteroscopy in the evaluation of uterine cavity in patients with perimenopausal bleeding and suspected intracavitary lesions, to evaluate the correlations between these findings and histopathological results, and to determine if 3D-SHG is superior or comparable to hysteroscopy in the diagnosis of these lesions.
Methods: A total of 50 women with perimenopausal bleeding and suspected intracavitary lesions, detected by either 2D transvaginal ultrasound or hysterosalpingography, were subjected to 3D saline-infusion sonohysterography (3D-SIS), office hysteroscopy, subsequent surgical procedures (i.e., fractional curettage, hysterectomy, polypectomy, or myomectomy), and finally histopathological examinations.
Results and Conclusions: Based on the findings, 3D-SIS is comparable to hysteroscopy in the diagnosis of intracavitary lesions in terms of sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy
