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In order to outline the prognosis and results of the treatment, a classification of intrauterine adhesions is most useful. There are many classifications based on histology, hysterography, symptomatology and hysteroscopy. The important factor that seem to correlate with the final outcome are the extent of uterine cavity occlusion and the type and severity of adhesions involved.
Last Updated ( Saturday, 29 August 2009 10:57 )
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Hysteroscopy In Infertile Patients
Hysteroscopy is becomig an increasingly important tool in the evaluation of the infertile patient (Valle & Sciarra,1979). Hysteroscopy in the evaluation of infertility patients has revealed uterine abnormalities at reported rates that vary from 19-62% (Lindemann,1971). The clinical significance of these findings remains to be completely evaluated, but relevant intrauterine conditions and their impact on infertility are known. (Dunn,1994).
Last Updated ( Saturday, 29 August 2009 05:54 )
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Hysteroscopy vs HSG in IUA
Will hysteroscopy replace HSG in diagnosis of IUA? Since the renewed interest in hysteroscopy, the question has been commonly asked. For a long time hysterography was the only feasible method to visualise the uterine cavity and a high degree of refinement was attained in the interpretation of the hysterogram.( Barbot ,1989)
Last Updated ( Saturday, 29 August 2009 05:59 )
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Hysteroscopic appearance of the uterine cavity:
The cavity is seen in a length wise direction and the proportions are no longer maintained, the foreground being enlarged compared with the background. The distortion is dramatically increased by the optical instrument. If this situation is advantageous for the study of small details, a mental correction is always necessary to restore the true size, extent of each structure relative to the other.(Barbot,1989).
Last Updated ( Saturday, 29 August 2009 05:56 )
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Hysteroscopic Insrumentation
The instruments needed for hysteroscopy depend on the hysteroscopic technique to be used.
Accordingly they can be divided into:
- contact and panoramic hysteroscopy.
- Flexible and rigid hysteroscopy.
Last Updated ( Saturday, 29 August 2009 06:01 )
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