Evaluating the Efficacy of a Novel Disposable Instrument in Operative Hysteroscopy Hossam Knife (H- Knife) | ||
| Aswan Africa Obstetrics and Gynecology Journal | ||
| Volume 1, Issue 3, September 2025, Pages 156-167 PDF (1.49 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aaogj.2025.427844.1025 | ||
| Authors | ||
| Hossam Fahem* 1; Mohamed Salah2; Usama Saleh3 | ||
| 1Aswan central hospital | ||
| 2Department of Obs&Gyn. Faculty of Medicine, Aswan University | ||
| 3Aswan Specialized Hospital | ||
| Abstract | ||
| Abstract: H- Knife is a new surgical instrument innovated by Dr. Hossam Faheem to facilitate surgical intrauterine hysteroscopy operation. This instrument was tested in management of FIGO 0 myoma, intrauterine psynechia and septum removal successfully without immediate complication. The aim of this work was to evaluate the role of Hossam knife (H-Knife) management of intrauterine pathology during hysteroscopy. Methods: This prospective study was conducted at department of Obstetrics and Gynecology, Aswan specialty hospital during the period study from January 2023 to June 2023. It included 5 cases of primary and secondary infertile women aged between 18-45 years. Proper preoperative investigations with Endo-vaginal ultrasonography and Hystero-salpingeography, were done. Results: Five cases operated successfully using H-Knife during hysteroscopy, - uterine myoma FIGO 0, uterine polyp, uterine septum and uterine synchia. No immediate postoperative complications were encountered. Conclusions: - Hossam Knife (H- knife) effective in management some cases of intrauterine pathology. Recommendation To expand the study to include a large number of cases with design a RCT to compare using H-Knife and hyterescopic scissors in terms of; efficacy, operative time, side effect, long outcome and cost effectiveness. | ||
| Keywords | ||
| Hysteroscopy; Hossam Faheem; H-knife; operative hysteroscopy | ||
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