{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:12:42Z","timestamp":1777727562327,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T00:00:00Z","timestamp":1564358400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T00:00:00Z","timestamp":1564358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2019,10]]},"abstract":"\n Objective<\/jats:title>\n \n This study was performed to\n investigate<\/jats:bold>\n the prevalence, indications, effectiveness, outcomes, and complications of\n operative hysteroscopy in gynecological patients<\/jats:bold>\n with an emphasis on the need for further training and\n equipping<\/jats:bold>\n facilities\n as performed by consultant gynecologists.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This was a retrospective\n descriptive<\/jats:bold>\n study of operative\n hysteroscopic<\/jats:bold>\n procedures\n from 19 September 2016 to 31 December 2018.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In total, 1919 hysteroscopic procedures were performed [1829 (95.3%) diagnostic and 90 (4.7%) operative hysteroscopies]. The patients\u2019 mean age was 42.4 years (range, 20\u201369 years).<\/jats:bold>\n The\n most common operative procedure<\/jats:bold>\n was hysteroscopic\n fibroid polypectomy<\/jats:bold>\n in\n 31 patients (34.4%), followed by transcervical resection of the endometrium in 23 (25.6%) and endometrial polypectomy in 16 (17.8%).<\/jats:bold>\n The most common indication was menorrhagia in\n 57 patients (63.33%), followed by recurrent miscarriages in 9 (10.00%) and primary infertility in 5 (5.56%). Sixty-six patients<\/jats:bold>\n (73.33%) were treated under general anesthesia and\n 24<\/jats:bold>\n (26.67%) under spinal anesthesia.\n Fifteen<\/jats:bold>\n fibroids (48.4%) were 3 to 4 cm in size and\n 11<\/jats:bold>\n (35.5%) were >4 cm.\n Eight<\/jats:bold>\n polyps (50%) were 3 to 4 cm. The mean uterine size and endometrial thickness were 8.9\u2009\u00b1\u20092.16 weeks and 11.1\u2009\u00b1\u20093.01 mm, respectively. The mean preoperative hemoglobin level was 10.9 g\/dL and the mean estimated blood loss was 65.9\u2009\u00b1\u200948.7 mL (range, 10\u2013200 mL).\n Thirty-eight patients<\/jats:bold>\n (60.3%) with heavy bleeding improved with no need for further medical or surgical intervention.\n Eleven patients<\/jats:bold>\n (44%) with reproductive issues conceived or regained their normal\n menstrual pattern<\/jats:bold>\n .\n Two patients (2.2%) had excessive fluid absorption and one (1.1%) had uterine perforation<\/jats:bold>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Operative hysteroscopy\n was<\/jats:bold>\n an effective\n and<\/jats:bold>\n safe option in certain uterine pathologies. Specific training in operative hysteroscopy should be promoted to make this type of surgery an integral part of gynecological services in the developing world.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0300060519864494","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T05:33:04Z","timestamp":1564378384000},"page":"5028-5036","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Operative hysteroscopy platform at a university teaching hospital: a retrospective study"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5896-9848","authenticated-orcid":false,"given":"Naser","family":"Al-Husban","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rana","family":"Abu Rokbeh","sequence":"additional","affiliation":[{"name":"Jordan University Hospital, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,29]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"126","article-title":"Modern operative hysteroscopy.","volume":"68","author":"Centini G","year":"2016","unstructured":"Centini G, Troia L, Lazzeri L, et\u00a0al. Modern operative hysteroscopy. Minerva Ginecol 2016; 68: 126\u2013132.","journal-title":"Minerva Ginecol"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3988-3"},{"key":"e_1_3_3_4_2","first-page":"334","article-title":"Resectoscopic myomectomy.","volume":"68","author":"Mazzon I","year":"2016","unstructured":"Mazzon I, Bettocchi S, Fascilla F, et\u00a0al. Resectoscopic myomectomy. Minerva Ginecol 2016; 68: 334\u2013344.","journal-title":"Minerva Ginecol"},{"key":"e_1_3_3_5_2","first-page":"422","article-title":"Hysteroscopic polypectomy, treatment of abnormal uterine bleeding.","volume":"83","author":"de Los Rios PJ","year":"2015","unstructured":"de Los Rios PJ, L\u00f3pez RC, Cifuentes PC, et\u00a0al. Hysteroscopic polypectomy, treatment of abnormal uterine bleeding. 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