Pain relief for outpatient hysteroscopy

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Comparing Transcervical Intrauterine Lidocaine Instillation with Rectal Diclofenac for Pain Relief During Outpatient Hysteroscopy: A Randomized Controlled Trial.

OBJECTIVES There are a number of potential advantages to performing hysteroscopy in an outpatient setting. However, the ideal approach, using local uterine anesthesia or rectal non-steroidal anti-inflammatory drugs, has not been determined. Our objective was to compare the efficacy of intrauterine lidocaine instillation with rectal diclofenac for pain relief during diagnostic hysteroscopy. ME...

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Evaluation of pain in outpatient diagnostic hysteroscopy with gas.

OBJECTIVE To evaluate the intensity of pain reported by patients undergoing outpatient diagnostic hysteroscopy. METHODS Exam performed with a 5-mm lens hysteroscope, vaginal speculum, tenaculum and uterine distention with carbon dioxide gas. Before and after the examination, patients were interviewed to define, in a verbal scale from 0 to 10, pain values that they expected to feel and that th...

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Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis

OBJECTIVE To compare the effects of different types of local anaesthetic for pain control during outpatient hysteroscopy. DESIGN Systematic review and meta-analysis of randomised controlled trials. SETTING Outpatient hysteroscopy clinics. PARTICIPANTS Women undergoing diagnostic or operative hysteroscopy as outpatients-that is, without general anaesthesia. Study selection criteria Medline...

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Randomised comparison of distension media for outpatient hysteroscopy.

OBJECTIVE To compare saline with and without added lignocaine and carbon dioxide distension for out patient hysteroscopy with regards to patient discomfort and hysteroscopic view. DESIGN Single blind prospective randomised controlled trial. SETTING Specialist out patient clinics in a large teaching hospital. POPULATION Women undergoing out patient hysteroscopy and endometrial biopsy for a...

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Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain

CRD summary The review found the vaginoscopic approach to outpatient hysteroscopy significantly reduced the pain experienced by patients during the procedure compared to the traditional technique using a vaginal speculum and with no significant difference for visualising the uterine cavity. The review was generally well-performed. Limitations to the evidence presented imply that the authors' co...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2017

ISSN: 1465-1858

DOI: 10.1002/14651858.cd007710.pub3