Comparison of three different modes of hysteroscopic surgery:outpatient,daily and inpatient
10.3969/j.issn.1672-8467.2024.05.014
- VernacularTitle:门诊、日间和住院3种不同模式宫腔镜手术的比较
- Author:
Li-Mei CHEN
1
;
Pei-Qing QUAN
;
Hong-Wei ZHANG
;
Yan-Yun LI
;
Yuan-Kui CAO
;
Qing LI
;
Qi ZHOU
;
Qing WANG
;
Long SUI
Author Information
1. 复旦大学附属妇产科医院宫腔镜中心 上海 200011
- Keywords:
hysteroscopy;
daily care;
outpatient;
inpatient;
complication;
quality control
- From:
Fudan University Journal of Medical Sciences
2024;51(5):742-748
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and management mode of hysteroscopy in three different modes:outpatient,daily and inpatient.Methods The quality control data of patients who underwent hysteroscopic surgery in Hysterscopy Centre,Obstetrics and Gynecology Hospital,Fudan University from Jan 2019 to Dec 2021 were collected through the electronic information system of the hospital and the monthly quality control report of hysteroscopy center.The amount of surgery,the proportion of grade Ⅳsurgery,the analysis of operation types,the indicator including complications,and unanticipated secondary surgery were retrospectively analyzed.Results From 2019 to 2021,5 162 outpatient hysteroscopic patients,15 331 daily hysteroscopic patients and 5 942 inpatient hysteroscopic patients were admitted in our hospital.The age of inpatient hysteroscopic patients was significantly older than those of outpatient and daily patients(P<0.001).In the past three years,the proportion of daily hysteroscopy gradually increased,and the proportion of inpatient hysteroscopy gradually decreased(P<0.001).The total percentage of grade Ⅳ hysteroscopic surgery was 12.9%,in which inpatient was higher than daily,and daily was higher than outpatient(P<0.001).The incidence of complications and accidents during hysteroscopy was 0.117%(31/26 435),including 17 cases of uterine perforation,7 cases of hysteroscopy failure,3 cases of excessive intraoperative bleeding,2 cases of fluid overload,1 case of intestinal injury,and 1 case of anesthesia accident.The incidence of hysteroscopy in outpatient,daily and inpatient were 0.020%(1/5 162),0.137%(21/15 331)and 0.151%(9/5 942)respectively.Conclusion Hysteroscopy in outpatient,daily and inpatient are all safe and reliable.Outpatient and daily hysteroscopy can improve the efficiency of medical services,which has gradually become a trend.
