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Hystero Polypectomy Thailand – A Right Viewing of Surgical Process!


In the world of medical science Thailand is making its unique place because every types of surgical process successfully done by the surgeons. There are various advanced technologies helping the patients to recover from major health problems. So, the world over patients are moving towards country for their country because they much confident about positive results. Due to this every year more than thousand satisfied patients are relief from Thailand. So, the patients of hystero polypectomy are never away from satisfied lists. The surgeons are using endoscopy to known about proper location of infection area and adding the process according to it. Due to endoscopy the patient never feels much pain from cutting because the camera install through tiny hole. So, the patients are recovering soon from entire process.   In order, to assess reproductive advantages of the hysteroscopic polypectomy in infertile women that depeds on size and number of polyps.

Design & methods

In retrospective study, 83 selected women were been included with: diagnoses of the primary and secondary infertility, the endometrial polyp or polyps as well as abnormal uterine bleeding. The endometrial polyps were been diagnosed by the transvaginal ultrasound that is followed by the diagnostic hysteroscopy, confirming diagnosis, as well as hysteroscopic polypectomy. 83 subjects who comprised study group, met te inclusion criteria: age 35 years, for 12 months of the infertility, from three to eight months menstrual disorders (the intermenstrual bleeding and spotting, menometrorrhagia and menorrhagia) and from three to eighteen months of the follow up with an attempt to conceive after the hysteroscopic polypectomy. Endometrial polyp or polyps appeared being an only reason explaining the infertility after infertility work up of couples. Also, there was comparison of the fertility rates after the hysteroscopic polypectomy between the patients who are having the endometrial polyp & patients with the bigger and multiple polyps.

Of 83 subjects, all found to have te endometrial polyps in the diagnostic hysteroscopy, and confirmed in histologic examination after the hysteroscopic polypectomy. Among the patients of study group, there were not any significant variation in age, kind and length of the infertility, and follow up period after procedure. Mean size of endometrial polyps was 1.9 ± 1.4.cm and thirty-one patients had the endometrial polyp ≤ 1 cm & 52 patients had much bigger and multiple endometrial polyps. Following the polypectomy, menstrual pattern was been normalized at 91.6% of patients. The spontaneous pregnancy & delivery at the term rates, in total population of study, increased after procedure as well as were around 61.4% & 54.2% respectively. Also, there was not any statistical difference in the fertility rates between the patients having polyps & patients having polyps and multiple polyps.



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