Hysteroscopic Complications

Hysteroscopic Complications



Abstract Views
386

Downloads
601

Citations

Share

##plugins.themes.bootstrap3.article.sidebar##

Table of Contents

##plugins.themes.bootstrap3.article.main##

Operative Hysteroscopy is a minimally invasive, safe and well tolerated procedure. Prevention of complications is crucial for patient care. The complication rate in diagnostic hysteroscopy is low 0.012%. Complications from operative hysteroscopy are more common and potentially more serious. These risks are highest with more complex hysteroscopic procedures like myomectomy and adhesiolysis. Complications of Operative Hysteroscopy can be early or late complications. Early include anesthetic complications, complications of distention media, cervical trauma, haemorrhage, perforation, and air embolism. Late ones are infections, adhesions. As Hysteroscopy continues to become popular, the importance of preventing, identifying, and managing complications is of utmost importance. Some problems are inherent in operative hysteroscopy, but large number of complications can be prevented by proper preoperative evaluation and surgical techniques. Appropriate training programmes and expertise are key to safe and successful hysteroscopy.

Keywords: Distention media, Hysteroscopy, Haemorrhage, perforation
  1. Jansen FW, Vredevoogd CB, van Ulzen K, Hermans J, Trimbos JB, Trimbos-Kemper TC. Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol. 2000; 96: 266–70.
    DOI  |   Google Scholar
  2. Munro MG, Christianson LA, Complications of hysteroscopic and uterine resectoscopic surgery. Clin Obstet Gynecol 2015; 58: 765-97.
    DOI  |   Google Scholar
  3. Rythen Alder E, Brundin J. Detection of carbon dioxide embolism during hysteroscopy. Gynecol Endoscopy. 1992; 1: 207–210.  |   Google Scholar
  4. Golan A, Sieder M. High output left ventricular failure after Dextran use in operative hysteroscopy. Fertil Steril. 1990; 54: 939–941.
    DOI  |   Google Scholar
  5. Philips DR, Milim SJ, Nathanson HG. Preventing hyponatremic encephalopathy: comparison of serum sodium and osmolality during operative hysteroscopy with 5% mannitol and 15% glycine as distension media. J Am Assoc Gynecol Uprose. 1997; 4(5): 567-576.
    DOI  |   Google Scholar
  6. Witz CA. Complications associated with absorption of hysteroscopic fluid media. Fertil Steril. 1993; 60: 745.
    DOI  |   Google Scholar
  7. Loffer FD. The need to monitor intrauterine pressure-myth or necessity? J Am Assoc Gynecol Laparoscopists. 1994; 2: 1–2.
    DOI  |   Google Scholar
  8. Umranikar S, Clark TJ, Saridogan E, Miligkos D, Arambage K, Torbe E, et al. BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy. Gynecol Surg. 2016; 13: 289–303.
    DOI  |   Google Scholar
  9. Cooper N, Smith P, Khan K, Clark TJ. Does cervical preparation before outpatient hysteroscopy reduce women’s pain experience? A Systematic review. BJOG. 2011; 118: 1292-301.
    DOI  |   Google Scholar
  10. Agostini A, Bretelle F, Cravello L, Ronda I, Roger V, Blanc B. Complications of operative hysteroscopy. Presse Medicale (Paris, France: 1983). 2003; 32(18): 826-829.  |   Google Scholar
  11. Royal College of Obstetricians and Gynaecologists. Best Practice in Outpatient Hysteroscopy. Green-top Guideline NO. 59. London: RCOG; 2011.  |   Google Scholar
  12. Agostini A, Cravello L, Desbriere R, Maisonneuve AS, Roger V, Blanc B. Hemorrhage risk during operative hysteroscopy. Acta Obstet Gynecol Scand. 2002; 81: 878–81.
    DOI  |   Google Scholar
  13. Darney PD, Atkinson E, Hirabayashi K. Uterine perforation during second–trimester abortion by cervical dilation and instrumental extraction; a review of 15 cases. Obstet Gynecol 1990; 75: 441-4.  |   Google Scholar
  14. Pasini A, Belloni C. Intraoperative complications of 697 consecutive operative hysteroscopies. Minerva Gynecol. 2001; 53 (1): 13-20.  |   Google Scholar
  15. Brooks PG. Venous air embolism during operative hysteroscopy. J Am Assoc Gynecol Laparosc. 1997; 4: 399–402.
    DOI  |   Google Scholar
  16. Siegler AM, Valle RF. Therapeutic hysteroscopic procedures. Fertil Steril. 1988; 50: 685–701.
    DOI  |   Google Scholar
  17. Brander P, Neis KJ, Ehmer C. The etiology, frequency, and prevention of gas embolism during CO2 hysteroscopy. J Am Assoc Gynecol Laprosc. 1999; 6: 421-8.
    DOI  |   Google Scholar
  18. Tulandi T. Introduction: prevention of adhesion formation: the journey continues. Hum Reprod Update. 2001; 7: 545-6.
    DOI  |   Google Scholar
  19. Touboul C, Fernandez H, Deffieux X, Berry R, Frydman R, Gervaise A. Uterine synechiae after bipolar hysteroscopic resection of submucosal myomas in patients with infertility. Fertil Steril. 2009; 92: 1690-3.
    DOI  |   Google Scholar

Downloads

Download data is not yet available.
Crossref
Scopus
Google Scholar
Europe PMC

How to Cite

Nabi, S. (2022). Hysteroscopic Complications. European Journal of Medical and Health Sciences, 4(3), 13–16. https://doi.org/10.24018/ejmed.2022.4.3.1312

Search Panel

 Shayista Nabi
 Google Scholar |   PubMed |   EJMED Journal