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[Influence of the level of training of the specialist in intra and post operative pain in patients who undergo officinal hysteroscopy ]. / Influencia del nivel de adiestramiento del especialista en dolor intra y posoperatorio en pacientes a quienes se efectúa histeroscopia en el consultorio.
Ginecol Obstet Mex ; 82(10): 659-65, 2014 Oct.
Article em Es | MEDLINE | ID: mdl-25510057
BACKGROUNDS: There are variable results regarding the risk factors associated with levels of pain during office hysteroscopy. OBJECTIVE: Describe levels of pain in Colombian patients who undergo office hysteroscopy performed by doctors in training. MATERIAL AND METHODS: Case series study. Conducted in patients who undergo office hysteroscopy without anesthesia in outpatient clinic in May 2012. The procedure was performed by Gynecologists in training and under supervision of the specialist. The Obstetric and Gynecological history was obtained through questionnaire. The pain perception, according to visual analog scale (VAS), was taken at three moments during the study: (1) 5 minutes before the procedure, (2) At the end of the procedure, (3) 10 minutes after the procedure.The major outcomes were: VAS 0-4, considered as absent or mild pain and VAS 5-10 considered as moderate or severe pain. RESULTS: We studied 44 patients, aged between 29 and 65 years. The group of patients with a VAS score >5 was mainly compose by: (1) Patients older than 50 years (58.8%), (2) with positive history of C-section (66.7%), (3) with positive history of abortion (75%) and menopausal (56.3%). CONCLUSION: 47.7% of our patients presentVAS score > 5. The majority of this group was composed by patients with risk factors to have pain during office hysteroscopy. Then we can't conclude that the level of pain experimented by our patients was due to the level of training of the doctors.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Histeroscopia / Competência Clínica / Complicações Intraoperatórias Tipo de estudo: Risk_factors_studies Limite: Adult / Aged / Female / Humans / Middle aged Idioma: Es Revista: Ginecol Obstet Mex Ano de publicação: 2014 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Histeroscopia / Competência Clínica / Complicações Intraoperatórias Tipo de estudo: Risk_factors_studies Limite: Adult / Aged / Female / Humans / Middle aged Idioma: Es Revista: Ginecol Obstet Mex Ano de publicação: 2014 Tipo de documento: Article País de publicação: México