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Titolo:
Endometrial cell dissemination at diagnostic hysteroscopy: a prospective randomized cross-over comparison of normal saline and carbon dioxide uterinedistension
Autore:
Nagele, F; Wieser, F; Deery, A; Hart, R; Magos, A;
Indirizzi:
Univ Vienna, Minimally Access Surg Unit, Div Gynaecol Endocrinol & Reprod Med, Dept Obstet & Gynaecol, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 tet & Gynaecol, A-1090 Vienna, Austria Univ London Royal Free Hosp, Cytopathol Unit, London NW3 2QG, England UnivLondon Royal Free Hosp London England NW3 2QG ndon NW3 2QG, England Univ London Royal Free Hosp, Minimally Invas Therapy Unit, London NW3 2QG,England Univ London Royal Free Hosp London England NW3 2QG ondon NW3 2QG,England Univ London Royal Free Hosp, Endoscopy Training Ctr, Dept Obstet & Gynaecol, London NW3 2QG, England Univ London Royal Free Hosp London England NW32QG ndon NW3 2QG, England
Titolo Testata:
HUMAN REPRODUCTION
fascicolo: 11, volume: 14, anno: 1999,
pagine: 2739 - 2742
SICI:
0268-1161(199911)14:11<2739:ECDADH>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERITONEAL-FLUID; OUTPATIENT HYSTEROSCOPY; INFERTILE PATIENTS; EPITHELIAL-CELLS; CARCINOMA; CYTOLOGY;
Keywords:
cell dissemination; endometrium; hysteroscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Nagele, F Univ Vienna, Minimally Access Surg Unit, Div Gynaecol Endocrinol& Reprod Med, Dept Obstet & Gynaecol, Waehringer Guertel 18-20, A-1090 Vienna, Austria Univ Vienna Waehringer Guertel 18-20 Vienna Austria A-1090 tria
Citazione:
F. Nagele et al., "Endometrial cell dissemination at diagnostic hysteroscopy: a prospective randomized cross-over comparison of normal saline and carbon dioxide uterinedistension", HUM REPR, 14(11), 1999, pp. 2739-2742

Abstract

The incidence of pelvic spreading of endometrial Cells at diagnostic hysteroscopy was studied comparing the two distension media carbon dioxide (CO2)and normal Saline (N/Saline), Thirty patients requiring laparoscopy and hysteroscopy were included in this study, the main indication for surgery being subfertility, Hysteroscopy was performed using both CO2 and N/Saline distension on each patient, the order of the distension media being randomly allocated. Samples of peritoneal fluid were aspirated from the pouch of Douglas before and after hysteroscopy with each distension medium, and the specimens were investigated cytologically for the presence of endometrial cells, Endometrium was present in 2/30 (6.7%) peritoneal aspirates before and in15/60 (25%) collected after the hysteroscopies. There was no major difference between liquid or gaseous distension, transtubal reflux of endometrial cells occurring in 7/30 (23.3%) and in 8/30 (26.7%) hysteroscopies respectively. Positive peritoneal cytology was observed significantly more often inpatients who were in the proliferative phase of the menstrual cycle [9/14 (64.3%) versus 0/11, P < 0.004]. In conclusion, transtubal dissemination ofendometrium occurs in about one quarter of patients, irrespective whether N/Saline or CO2 is used for uterine distension; there is no advantage to using gaseous distension for hysteroscopy when investigating high-risk cases for endometrial malignancy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 10:16:13