GYN Disorders Clinical Trial
Official title:
Randomized Comparison of Vaginal Dinoprostone and Misoprostol for Cervical Ripening Before Diagnostic Hysteroscopy in Patients Who Have Undergone Cesarean Section
The hysteroscopy was performed in the proliferativephase of the menstrual cycle.
The patients were given generalintravenous anesthesia (propofol/fentanyl) after the vulvar
and the vaginal area had been disinfected with a 7.5% Betadinesolution by the surgical nurse
All operations were performed by the same surgeon to avoid possible discrepancies between
different surgeons.
Astandard rigid30 hysteroscope (Karl Storz bettocchi hysteroscope) with a 30° viewing
angleand an outer sheath diameter 5.5 mm, inner sheath diameter 4.3 mm and scope diameter 2.9
mmwas used in all procedures.
A speculum was introduced into the vagina, and the uterine cervixwas visualized. Initially,
the surgeon attempted to passthrough the cervical canal with the tool directly. When thatwas
not possible or when the cervical canal was too rigid ortoo tight, the cervix was grasped
with a tenaculum.
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