Abstract

Objectives: To minimize cervical trauma, enhance performance and reduce complications during gynecological operations requiring cervical dilatations.
Patients and methods: This study was conducted on 200 women in child bearing age scheduled for operative hysteroscopy for a variety of conditions as infertility or abnormal uterine bleeding. Patients were randomly allocated into two groups according to method of cervical traction. Cervical stitch for patients in group I (n =100), while using vulsellum in group II (n =100). This study was done at Tanta University Hospitals in the period from October 1, 2015 to September 30, 2016. All demographic data, operative type, cervical trauma, operative bleeding or cervical lacerations were gathered and analyzed.
Results: All patients' demographic data were statistically non-significant in the studied groups. The operative time required for cervical dilatation was shortened in group I (10.66±2.70 minutes) compared to (18.2±1.45 minutes) with P value = 0.02. No complications occurred in group I while bleeding occurred in group II due to excessive force against the vulsellum with multiple applications and slipping of the vulsellum leading to more lacerations and more bleeding. Additional measures were used in group II only to stop or minimize complications.
Conclusions: Cervical stitch applied before gynecological procedures requiring cervical dilatation was more effective and helpful than vulsellum use and was not associated with any cervical trauma, lacerations, or bleeding.