Hysteroscopic management of displaced levonorgestrel-releasing intrauterine system.

Aim: This study was designed to evaluate feasibility and effectiveness of hysteroscopic intervention in the management of symptoms related to the displaced levonorgestrel-releasing intrauterine system (LNG-IUS).

Material And Methods: One hundred and thirteen patients with displaced LNG-IUS presenting with irregular uterine bleeding, pelvic pain or asymptomatic displacement were recruited for hysteroscopic examination. Displaced LNG-IUS was relocated by hysteroscopic intervention and the effect on symptoms and LNG-IUS position was followed.

[Office hysteroscopy - management and results].

Objective: Sum up the knowledge about office hysteroscopy.

Type Of Study: Review of literature and our own experience.

Setting: Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague and General Teaching Hospital Prague.

[Is the hysteroscopy the right choice for therapy of placental remnants?].

Objective: The evaluation of the effectiveness and safety of hysteroscopic management of residual trophoblastic tissue and to verify the miniinvasivity with the second-look hysteroscopy.

Design: Prospective study.

Setting: Department of Gynecology and Obstetrics, First Faculty od Medicine, Charles University and General Teaching Hospital, Prague.

Should hysteroscopy be provided for patients who have undergone instrumental intrauterine intervention after delivery?

We investigated the frequency of pathology, especially intrauterine adhesions, after instrumental evacuation within 24 h of delivery in a prospective observational intervention study on 100 women where a 'see and treat' hysteroscopy was performed after three to four months. There were two possible etiology groups: intrauterine adhesions [classified according by European Society for Gynaecological Endoscopy (ESGE) grades I-IV] and residual tissue (classified as minimal and considerable). Adhesions were found in 18% of patients, as follows: ESGE I-II in 13% and ESGE III-IV in 5%.

[Prenatal intracranial hemorrhagie--diagnosis and follow-up].

Aim: We present a case of difficult prenatal diagnosis and follow-up of severe fetal intracranial hemorrhage. With an analysis of the available literature that is related to this topic, we would like to bring attention to the necessity of accurate evaluation of fetal brain morphology even during routine ultrasound examination in the late third trimester.

Type Of Study: Case report.

[Asherman's syndrome II--therapy, methods of guidance, prevention of readhesion processs, complications and results of therapy].

Objective: To describe the current knowledge about Asherman's syndrome: methods of therapy and guidance, preventions of readhesion process, complications and results of therapy.

Design: Review article.

Results: There are presented historic and recent methods for therapy of Asherman's syndrome and their postoperative results.

[Asherman's syndrome I--history, prevalence, histopathology, classification, ethiology, symtomatology and investigations].

Objective: To describe the current knowledge of Ashermanes syndrome--its history, prevalence, histopathology, classification, ethiology, symtomatology and investigations.

Design: Review article.

Results: There is presented the history of definition of Asherman's syndrome.

"See and treat" hysteroscopy after missed abortion.

A prospective study was conducted on the incidence of intrauterine pathology after missed abortion diagnosed and treated by hysteroscopy. A hysteroscopy was performed in 100 women four to 12 weeks after a dilatation and curettage for missed abortions. Uterine malformations were found in 12 patients, intrauterine adhesions in seven and submucous myoma in two cases.

[Thermachoice thermal balloon therapy--a 10-year-experience].

Objective: To evaluate the effectivness of a global method of endometrium ablation--Thermachoice (Gynecare; Johnson & Johnson) baloon therapy in treatment of excessive uterine bleeding. Our 10-year-long-experience is presented.

Design: Retrospective study.

["See and treat" hysteroscopy: limits of intrauterine pathology bulk].

Objective: To evaluate bulk limits of intrauterine pathology for "see and treat" hysteroscopy.

Type Of Study: A retrospective observational study.

Setting: Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague and General Teaching Hospital Prague.

[Office hysteroscopy--state of the art].

Objective: Sum up the knowledge about office hysteroscopy.

Type Of Study: Review of literature and our own 5 years of experience.

Setting: Department of Gynaecology and Obstetrics, First Faculty of Medicine, Charles University Prague and General Teaching Hospital Prague, Prague.