title: [Importance of operative hysteroscopy in the treatment of intrauterine pathology: method of first choice].
abstract: OBJECTIVE
  To demonstrate the possibilities of hysteroscopic procedures and transcervical surgery in the management of intrauterine pathology.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Department of Obstetrics and Gynecology, 1st Faculty of General Medicine and General Faculty Hospital, Prague, Apolinárská 18, Czech Republic.
  
  
  METHODS
  Retrospective analysis of hysteroscopic procedures.
  
  
  RESULTS
  In the period 1994-1998 we performed 1410 hysteroscopic procedures. We registered an increase of operative hysteroscopic procedures--from 6.8% in 1995 to 24.5% in 1998. We registered 4 perioperative complications--in 1 case "fluid overload syndrome", in 2 cases perforation of the posterior vaginal fornix during dilatation of the cervix after its conisation and in 1 case perforation of the anterior uterine wall. These complications were not treated by any further major surgical intervention. In 91.3% we were able to solve the intrauterine pathology immediately in a one-step hysteroscopic procedure.
  
  
  CONCLUSIONS
  Our results are positive and demonstrate the role and advantages of operative hysteroscopy in the management of intrauterine pathology.
authors.affiliation: Gynek.-porod. klinika 1. LF UK a VFN, Praha.
authors.forename: D
authors.initials: D
authors.lastname: Tóth
authors.forename: D
authors.initials: D
authors.lastname: Kuzel
authors.forename: Z
authors.initials: Z
authors.lastname: Fucíková
authors.forename: D
authors.initials: D
authors.lastname: Cibula
authors.forename: J
authors.initials: J
authors.lastname: Zivný
mesh_terms: D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery*