5. Evaluation Of The Effectiveness Of The Use Of A Bipolar Mini-Resectoscope To Improve The Provision Of Gynecological Care To Patients With Intrauterine Pathology

Abstract

The analysis of the results of a comprehensive clinical and instrumental examination of 104 women who were treated in the day hospital of the Department of Gynecology in JSC “National Scientific Center of Surgery of A. N. Syzganov” in the period from September 2019 to December 2020 was carried out. In order to evaluate the effectiveness of the tech-nology of bipolar “mini” resectoscopy in intrauterine pathology in women with various forms of infertility, 104 patients were examined, which were divided into two groups: Group 1 – patients with primary infertility (41);Group 2 – patients with secondary infertility (63). The study included women aged 21 to 45 years, the average age of patients was 31.5 years. The main complaint of all patients was the absence of pregnancy with regular sexual activity for 1-10 years. Menstrual disorders were observed in 61 women, which was 59%. The analysis of clinical and anamnestic data of 104 women showed the presence of pri-mary infertility in 40.0% of patients, and secondary infertility in 59%. In women with primary and secondary infertility after mini-hystero resectoscopy (GDS), the lowest percentage of intrauterine pathology was endometrial hyperplasia (0.9%) and frequent or complete intrauterine septa (0.9%). Submycous uterine fibroids were diagnosed in 3.2% of patients, and in 12% of cases there were intrauterine synechiae. The largest number of patients encountered patholo-gies - chronic endometritis (45%), endometrial polyp (38%). Thus, in the study groups, we determined and established the frequency of intrauterine pathology in women with various forms of infertility after mini-GDS. All surgical manipula-tions of bipolar mini-hysteroscopy with resection were performed without anesthesia in 43.2% of cases and under local anesthesia in 56.8%.