الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 99 |  |  |
| | | from | 99 | | |
Abstract
Outpatient hysteroscopy is adiagnostic procedure. It indicated mainly in evaluation of women with abnormal uterine bleeding.
The uterine cavity is a potential space so we need to use adistension media to see it.
Myometrium is distended in respond to uterine distension so it may cause a colicky pain of medium to high intensity.
When physiologic saline solution is the distension medium, it is used at room temperature, colicky pain may be increased by cool temperature:
There is many types of distension medium in hysteroscopy
a- Co2 is generally accepted to used as a distension medium.
b- Fluid distension media have many advantage over Co2 as it have symmetrical distension and flush blood.
In 2000, the American association of gynaecological laparoscopist recommended the use of electrolyte containing fluid in diagnostic and operative cases.
Our study aim to compare between warm saline distension medium and room temperature saline distension medium as regard their effectiveness on decreasing pain at the end of the procedure and 15 minutes after the end of the procedure.
We evaluated the patient satisfaction as the percentage of patients who could undergo the hysteroscopic examination again using the same method.
We measured the time taken to complete the procedure starting from introduction of the hysteroscope into the vagina until removing it from the cervi.
Parameters of pain assessment differed significantly between the two groups.
Simple analysis of VAS scores revealed a statistically significantly lower VAS score at the end of the procedure in the warm distention medium group compared to the room-temperature distention medium group. The same finding was held constant also after 15 minutes from the end of the procedure.