Evaluating the Efficacy of a Novel Disposable Instrument in Operative Hysteroscopy Hossam Knife (H- Knife)

Document Type : Original Article

Authors

1 Aswan central hospital

2 Department of Obs&Gyn. Faculty of Medicine, Aswan University

3 Aswan Specialized Hospital

10.21608/aaogj.2025.427844.1025

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.

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