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Administration of rectal cytotec versus rectal buscopan before hysteroscopy

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dc.contributor.authorGÖKMEN KARASU, AYŞE FİLİZ
dc.contributor.authorAYDIN, SERDAR
dc.contributor.authorATEŞ, SEDA
dc.contributor.authorTAKMAZ, TAHA
dc.contributor.authorComba, Cihan
dc.contributor.institutionauthorGÖKMEN KARASU, AYŞE FİLİZ
dc.contributor.institutionauthorAYDIN, SERDAR
dc.contributor.institutionauthorATEŞ, SEDA
dc.contributor.institutionauthorTAKMAZ, TAHA
dc.date.accessioned2020-10-30T00:13:41Z
dc.date.available2020-10-30T00:13:41Z
dc.date.issued2020-06-01T00:00:00Z
dc.description.abstractIntroduction:Our objective was to compare the effect of rectal misoprostol (Cytotec) versus rectal hyoscine-n-butyl bromide (Buscopan) on patients undergoing hysteroscopy. We hypothesised that HBB may have a role in cervical priming. Material and methods:This trial was conducted at Bezmialem Vakif University Hospital. Women of reproductive age between 18-50 years who were scheduled for operative hysteroscopy indicated by type 1 submucous myoma or endometrial polyps were recruited for the study. Ninety patients were divided randomly into three groups. Group 1 received placebo treatment. Group 2 received rectal 200 mcg misoprostol and Group 3 received rectal 20 mg hyoscine-n-butyl bromide two hours before the procedure. Procedures were performed using a bipolar 26 F (9 mm) continuous-flow rigid resectoscope with a 30 degrees lens. The outcome measures included cervical dilation width and time, ease of cervical dilation, procedure time and operative complications. Postoperative self-rated pain was assessed one hour after the procedure. Results:Thirteen patients (43. 3%) in the placebo treatment group, 11 patients (36.7%) in the misoprostol group and four patients (13.3%) in the hyoscine-n-butyl bromide group needed analgesics postoperatively (p = .02). The mean duration of cervical dilation time was longest in Group 1 and shortest in Group 3, however this difference did not reach statistical significance (p=.11). There was no difference with regard to other studied parameters. Summary:HBB reduced the need for pain medication compared to placebo. Larger studies are needed to further investigate the role of HBB in facilitating pre-operative cervical priming.
dc.identifier.citationGÖKMEN KARASU A. F. , AYDIN S., ATEŞ S., TAKMAZ T., Comba C., -Administration of rectal cytotec versus rectal buscopan before hysteroscopy-, MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 2020
dc.identifier.doi10.1080/13645706.2020.1748059
dc.identifier.pubmed32491923
dc.identifier.scopus85086857906
dc.identifier.urihttp://hdl.handle.net/20.500.12645/27133
dc.identifier.wosWOS:000543348400001
dc.titleAdministration of rectal cytotec versus rectal buscopan before hysteroscopy
dc.typeArticle
dspace.entity.typePublication
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