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Gel instillation sonohysterography: first experience with a new technique.

Abstract：

OBJECTIVE:A practical attempt to simplify and improve the technique of artificial uterine cavity distension by instilling gel instead of flushing saline. DESIGN:Prospective observational study. SETTING:Teaching hospital. PATIENT(S):One hundred twenty patients with an indication for sonohysterography (abnormal uterine bleeding, exclusion of congenital abnormalities, or preoperative or postoperative evaluation of submucous myomas, polyps, or synechiae). INTERVENTION(S):A hydroxyethylcellulose gel containing anesthetic and antiseptic agents was instilled in the uterine cavity through a plastic intrauterine insemination cannula attached to a flexible plastic tube and a syringe. Transvaginal (3-dimensional) ultrasonography was performed concomitantly. MAIN OUTCOME MEASURE(S):Stable filling of the uterine cavity allowing a high-quality ultrasonographic visualization. RESULT(S):An optimal distension of the uterine cavity could be achieved with an average of only 4 mL (range, 2-10 mL) in 113 patients. As expected, a stable filling of the uterine cavity permitted a precise visualization of the uterine cavity and its linings and offered an optimal presentation for a 3-dimensional ultrasound recording and reconstruction. CONCLUSION(S):Gel instillation is a simple technique with minimal inconvenience for the patient and seems to be an attractive alternative to saline infusion during sonohysterography.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Exalto N,Stappers C,van Raamsdonk LA,Emanuel MH

doi

10.1016/j.fertnstert.2006.05.075

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

152-5

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(06)03169-4

journal_volume

87

pub_type

杂志文章

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