[Hysteroscopy in suspected endometrial carcinoma: a comparison among cavity-distention media].
OBJECTIVE
To evaluate satisfaction rate, efficacy and complication rate of carbon dioxide (CO2) vs normal saline as uterine distension medium for outpatient diagnostic hysteroscopy in patients with suspicious endometrial cancer.


METHODS
Thirty-eight undergoing outpatient hysteroscopy performed with carbon dioxide (group A) or normal saline (group B). Quality of vision of uterine cavity, procedure time, complications, patient discomfort, satisfaction rate have been evaluated.


RESULTS
In group B a significant reduction in abdominal pain, shoulder tip pain and a lower incidence of vasovagal reactions were observed in comparison to group A. In normal saline group we found a higher satisfaction rate and a lower operative time in comparison to the CO2 group.


CONCLUSIONS
Uterine distension with normal saline seems to have less adverse effects and is better accepted by patients.
Guida
M
M
Dipartimento di Ginecologia, Ostetricia e Fisiopatologia della Riproduzione Umana, Università degli Studi di Napoli Federico II.
Bramante
S
S
Lavitola
G
G
Acunzo
G
G
Sparice
S
S
Cirillo
P
P
Nappi
C
C
D015746:Abdominal Pain / Q000209:etiology / Q000517:prevention & control; D000368:Aged; D002245:Carbon Dioxide; D002277:Carcinoma / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D016889:Endometrial Neoplasms / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007327:Insufflation / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D017698:Postmenopause; D020845:Selective Estrogen Receptor Modulators / Q000009:adverse effects; D020069:Shoulder Pain / Q000209:etiology / Q000517:prevention & control; D012965:Sodium Chloride; D019462:Syncope, Vasovagal / Q000209:etiology; D013629:Tamoxifen / Q000009:adverse effects; D014592:Uterine Hemorrhage / Q000209:etiology; D014599:Uterus
D020845:Selective Estrogen Receptor Modulators; D013629:Tamoxifen; D002245:Carbon Dioxide; D012965:Sodium Chloride