COMBINATION OF HYSTEROSCOPY AND LAPAROSCOPY IN GYNECOLOGIC OPERATION - AN ANALYSIS OF 65 CASES

Objective To introduce the procedures, preliminary experience, and adv antages of operation using combination of hysteroscopy and laparoscopy . Methods Sixty-five women underwent transcervical resection of endome trium (11), myoma (38), polyp (2), septa (9), adhesion (1) or foreign body (4). All had the indications for simultaneous laparoscopic monito ring and operation. They were first diagnosed laparoscopically to deci de the type of laparoscopic operation. Then they were treated hysteros copically and finally received laparoscopic operation. Results Laparos copic examinations confirmed the original diagnoses, revealed the caus es of pelvic pain in 8 patients, and detected ovarian cyst, endometrio sis, and pelvic adhesion in 5. Two cases of uterine perforation were f ound by laparoscopic monitoring. Thirty laparoscopic operations includ ed removal or puncture of ovarian cyst, lysis of adhesion, coagulation of endometriosis, Rubin's test, and partial salpingectomy. The postop erative course was smooth and the operative result was satisfactory. C onclusions Operations using combination of hysteroscopy and laparoscop y are safe and effective. They also reduce the pain, and save the time and money of patients. Laparoscopic monitoring may detect uterine per foration in time.