ASSESSING THE EFFECTIVENESS OF THE MINIMALLY INVASIVE HYSTEROSCOPY SURGERY AS AN ALTERNATIVE TO INVASIVE SURGERIES PERFORMED IN GYNECOLOGICAL SETTINGS: A CLINICAL STUDY

Abstract

Background: Given hysteroscopy's great safety and effectiveness in treating and diagnosing a range of gynecologic
and obstetric problems, it is imperative that it be explored as a potential replacement for invasive routine gynecologic
issues in the future.
Aims: In order to evaluate hysteroscopy's therapeutic and diagnostic effectiveness in lieu of invasive gynecologic
treatments for common gynecologic disorders such as recurrent abortion, infertility, and uterine haemorrhage, the
current study was carried out.
Methods: Three groups consisting of 232 individuals were formed: 32 instances of infertility (Group II), 17 cases of
repeated abortions (Group III), and 183 cases of abnormal uterine bleeding (Group I). Menstruation status, method of
contraception, length of hospital stay, principal complaint, number of abortions, history of prior abortions, parity,
gravidity, and age of subjects were among the factors evaluated in this study. The research evaluated the quality of the
care given as well as any failures or issues with the diagnosis and course of therapy. The gathered information was
examined statistically.
Results: Among the individuals with uterine bleeding, 1.09% (n=2) underwent hysteroscopy, myomectomy, and
polypectomy; in contrast, 14.75% (n=27) underwent hysteroscopy, myomectomy, and curettage, and 6.25% (n=2)
underwent infertility. In Group I, II, and III, hysteroscopy and curettage were performed on 37.15% (n=68), 18.75%
(n=6), and 29.41% (n=5) of the individuals, respectively. In Group I, II, and III, 8.19% (n=15), 12.5% (n=4), and
11.76% (n=2) of the participants had hysteroscopy and myomectomy, respectively. In patients from Group I, II, and
III, hysteroscopy alone was carried out in 24.599% (n=45), 9.387% (n=3), and 17.64% (n=3) of cases, respectively.
No individual had problems linked to hysteroscopy.
Conclusion: The current study suggests that hysteroscopy is a safe, effective, and less intrusive option for treating
patients with uterine haemorrhage, infertility, and recurrent abortions when compared to traditional gynecologic
operations.