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Biomedical subjects

F R Bellingham

Publications and source records attributed to F R Bellingham.

6 recordsLinked to original sources

Outpatient hysteroscopy--problems.

Outpatient hysteroscopy is now a routine procedure, but difficulties may be encountered. It was decided to assess the problems found in one practice over a period of time. Between August 1, 1989 and July 31, 1996 there were 1,080 examinations performed by the author; pain was sometimes significant, but already has been well covered in the literature. The other important problems were vasovagal reactions and failure to complete an adequate examination. This report emphasizes these problems. Being aware of potential problems allows one to anticipate them and often allows the procedure to be carried out successfully. At the very least, this awareness should save the patient major medical problems or discomfort.

Adult

Intrauterine adhesions: hysteroscopic lysis and adjunctive methods.

A series of 17 patients with significant intrauterine synechiae is presented with a demonstration of various adjunctive therapeutic measures which may be helpful. The procedure is ideally performed under ultrasound control and this is essential if the adhesions are extensive. There may be a place for postoperative use of an intrauterine contraceptive device or of hormone therapy, but these modalities are not universally accepted. However, 11 of 13 patients regained normal menstruation and 8 of the 10 desiring pregnancy achieved livebirths with these methods. Four of the latter had had severe adhesions. One patient (Case 9) was not seen after the postoperative visit ('lost to series') and 1 (Case 7) later had a hysterectomy for pain but the operative specimen showed a normal uterine cavity.

Adult