Analysis of the routine of medical specialists in hysteroscopies

ABSTRACT
Objective. To analyze the routine and surgical techniques of hysteroscopy specialists worldwide.
Materials and Methods. Cross-sectional observational study conducted at the Department of Gynecological Endoscopy at the University Center of the ABC Medical School. All data were collected using online virtual questionnaires. Medical professionals were asked several questions about their hysteroscopic routine, materials available, uterine pathologies treated, and any complications.
Results. A total of 237 questionnaires were answered by doctors from 16 countries. Most respondents (81%) were Brazilian and had more than 15 years of experience in hysteroscopies (45.6%). The average number of days per week dedicated to surgical hysteroscopy (1.8) was higher than the average number of days dedicated to outpatient hysteroscopy (1.3). In 27.3% of cases, the interviewee reported having already observed uterine perforation with electrical energy, and in 73.8% of cases the perforation occurred during the removal of uterine myoma, while in 69.2% the perforation occurred in the uterine wall. Among the doctors who reported having had a perforation with electrical energy, 53.8% interrupted the procedure and the patient remained hospitalized, under observation, while 35.4% interrupted the procedure and performed a laparotomy or laparoscopy. There was a statistical correlation between the number of cases of uterine perforation using electrical energy and experience of over 15 years in hysteroscopy (p = 0.0011).
Conclusions. The study highlights the need to learn more about doctors who perform hysteroscopies, exchanging experiences, and promoting improvements in each service. Specific points that would benefit from institutional protocols could also be analyzed.