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Iatrogenic orifice transluminal endoscopic surgery (IOTES): managing uterine perforations at operative hysteroscopy
Oleh:
Huber, Alexander Wilfried
;
Santi, Alessandro
;
Tersiev, Plamen
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 94 no. 05 (Oct. 2010)
,
page 1908-1909.
Topik:
Endoscopic surgery
;
uterine perforation
;
management
;
hysteroscopy
;
minimally invasive surgery
;
transuterine laparoscopy
;
IOTES
;
NOTES
Ketersediaan
Perpustakaan FK
Nomor Panggil:
F02.K.2010.05
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Objective To prove safety and feasibility of an intra-abdominal endoscopic evaluation via an iatrogenic uterine perforation that occurred during operative hysteroscopy. Design Clinical case report. Setting University Hospital. Patient(s) A multimorbid woman with postmenopausal bleeding with iatrogenic uterine perforation during hysteroscopic resection of an endometrial polyp. Intervention(s) Intra-abdominal endoscopic evaluation via the iatrogenic uterine perforation site with use of a standard diagnostic hysteroscope. Main Outcome Measure(s) Visibility, technical feasibility, clinical course, and hematologic follow-up of the patient. Result(s) A sufficient assessment of the intra-abdominal cavity and the uterine defect was possible with use of a small-diameter diagnostic hysteroscope during the workup of an iatrogenic uterine perforation. No additional intervention-related side effects occurred. Conclusion(s) This technique was safe and feasible to gain operative access to the abdominal cavity, allowing a complete diagnostic intra-abdominal inspection for lesions of the adjacent organs. IOTES bears the potential to become a time-saving low-risk alternative to diagnostic standard laparoscopy.
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