Operative hysteroscopy in patients with active uterine bleeding with and without uterine evacuation prior to the procedure: Comparing the results

Abstract

The aim of this study was to compare the short-term intra- and postoperative outcomes of operative hysteroscopy was performed in patients with active bleeding with and without uterine evacuation before starting the procedure. Methods: A clinical trial study was designed to compare the intraoperative and postoperative outcomes of performing operative hysteroscopy in a population of women who referred to oncologic center of a teaching hospital in Tabriz, Iran, from Oct. 2018 to Sept. 2019. One hundred and fourteen women with symptomatic bleeding before hysteroscopy were allocated at random in 2 equal groups with and without uterine evacuation before starting the procedure and were evaluated for intraoperative and early postoperative outcomes The SPSS version 26 was used for statistical analysis at the significant level of 0.05. Results: All 114 participants completed the study. There was no difference at the characteristics of the patients. There was significant difference in the bright vision (p<0.001), severity of bleeding (p<0.001), mean procedure time (p<0.001), mean serum volume used (p<0.001), and the postoperative serum hematocrit levels [95% CI (-3.00, -1.88)] (p<0.001) between groups. There was no difference at hospital stay between groups (p=0/081). There was no anesthetic complication in any of the patients in both groups (p=0,18). The surgery was completed successfully in all patients of both groups without complication.