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Research Article| Volume 9, ISSUE 3, P158-162, September 1999

Establishing an outpatient hysteroscopy service

  • I.M. Symonds
    Correspondence
    Correspondence to: J.W W S.
    Affiliations
    Senior Lecturer in Obstetrics and Gynaecology, Academic Department of Obstetrics and Gynaecology, Clinical Sciences Building, Derby City General Hospital, Uttoxeter Road, Derby DE22 3NE, UK
    Search for articles by this author
DOI:https://doi.org/10.1016/S0957-5847(99)90059-8
Establishing an outpatient hysteroscopy service
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      Abstract

      Hysteroscopic examination of the endometrium can be carried out as an outpatient procedure with no loss in diagnostic accuracy and at considerably lower cost than when done as a day-case. Cervical dilation is required in less than 20% of cases and only one-third of patients require local anaesthetic. Over 90% of women find the procedure acceptable and report minimal discomfort. Approximately 50% of women will have some abnormality identified at hysteroscopy of whom 1–2% will have endometrial malignancy. Twenty per cent of patients require subsequent hysteroscopy surgery under general anaesthetic, mostly for the removal of benign lesions. The initial capital investment required to establish a new service is small when compared to the long-term savings on the cost per patient procedure.
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      Article info

      Identification

      DOI: https://doi.org/10.1016/S0957-5847(99)90059-8

      Copyright

      © 1999 Published by Elsevier Inc.

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