Complications of hysteroscopy and how to avoid them

McGurgan, Paul; McIlwaine, Patrick

doi:10.1016/j.bpobgyn.2015.03.009

Cited by 27 publications

(24 citation statements)

References 39 publications

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“…demonstrated that hysteroscopic morcellation was more acceptable to patients than was hysteroscopic resectoscopy. During hysteroscopy with a bipolar electrical energy system, it is easier to make contact with the myometrium and its sensory innervation, which increases discomfort to the patient . The use of a hysteroscopic morcellator, with its rotating mechanical energy system, ensures that the device does not go past the fibrous tissue and the endometrium .…”

Section: Discussionmentioning

confidence: 99%

“…21 The use of a hysteroscopic morcellator, with its rotating mechanical energy system, ensures that the device does not go past the fibrous tissue and the endometrium. 21 The shorter time required to conduct the procedure with the hysteroscopic morcellator could also promote greater tolerance. However, because data on these outcomes were limited, the findings should be interpreted with caution.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review and meta‐analysis of randomized controlled trials comparing hysteroscopic morcellation with resectoscopy for patients with endometrial lesions

Dai

Gong

et al. 2016

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A systematic review and meta‐analysis of randomized controlled trials comparing hysteroscopic morcellation with resectoscopy for patients with endometrial lesions

Dai

Gong

et al. 2016

Intl J Gynecology & Obste

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“…28 Fluid overload can occur through direct passage of fluid through the uterine vessels that are opened during surgery or through the entry of fluid into the peritoneal cavity, either through the uterine tubes or through uterine perforation. 29 In the present study, the only distension medium used was 1.5% glycine, and 6 women presented with fluid overload (1.78%). Among them, none had uterine perforation.…”

Section: Discussionmentioning

confidence: 69%

Factors Associated with the Complications of Hysteroscopic Myomectomy

Lima

Brito

Baccaro

2020

Rev Bras Ginecol Obstet

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Objective To evaluate the factors associated with complete myomectomy in a single surgical procedure and the aspects related to the early complications. Methods A cross-sectional study with women with submucous myomas. The dependent variables were the complete myomectomy performed in a single hysteroscopic procedure, and the presence of early complications related to the procedure. Results We identified 338 women who underwent hysteroscopic myomectomy. In 89.05% of the cases, there was a single fibroid to be treated. According to the classification of the International Federation of Gynecology and Obstetrics (Fédération Internationale de Gynécologie et d'Obstétrique, FIGO, in French), most fibroids were of grade 0 (66.96%), followed by grade 1 (20.54%), and grade 2 (12.50%). The myomectomies were complete in 63.31% of the cases, and the factors independently associated with complete myomectomy were the diameter of the largest fibroid (prevalence ratio [PR]: 0.97; 95% confidence interval [95%CI]: 0.96–0.98) and the classification 0 of the fibroid according to the FIGO (PR: 2.04; 95%CI: 1.18–3.52). We observed early complications in 13.01% of the hysteroscopic procedures (4.44% presented excessive bleeding during the procedure, 4.14%, uterine perforation, 2.66%, false route, 1.78%, fluid overload, 0.59%, exploratory laparotomy, and 0.3%, postoperative infection). The only independent factor associated with the occurrence of early complications was incomplete myomectomy (PR: 2.77; 95%CI: 1.43–5.38). Conclusions Our results show that hysteroscopic myomectomy may result in up to 13% of complications, and the chance of complete resection is greater in small and completely intracavitary fibroids; women with larger fibroids and with a high degree of myometrial penetration have a greater chance of developing complications from hysteroscopic myomectomy.

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“…Personnel operating the insufflator should avoid high pressures because air could become entrained in the exposed uterine venous plexi 24. Carbon dioxide has a refractive index similar to that of air 25. Blood, mucus, and air bubbles can distort image clarity,21 and CO 2 causes bubbling in the presence of excess blood or fluid 25.…”

Section: Distending Media For Hysteroscopymentioning

confidence: 99%

Distending Media Used During Hysteroscopy: Perioperative Nursing Implications

Donan¹,

Pace²,

Ruiz³

et al. 2020

AORN Journal

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CPT, USA, have no declared affiliations that could be perceived as posing potential conflicts of interest in the publication of this article. The behavioral objectives for this program were created by Courtney Shay, MPH, BSN, RN, CNOR, clinical editor, with consultation from Susan Bakewell, MS, RN, NPD-BC, director, Perioperative Education. Ms Shay and Ms Bakewell have no declared affiliations that could be perceived as posing potential conflicts of interest in the publication of this article. SPONSORSHIP OR COMMERCIAL SUPPORT No sponsorship or commercial support was received for this article. DISCLAIMER AORN recognizes these activities as CE for RNs. This recognition does not imply that AORN or the American Nurses Credentialing Center approves or endorses products mentioned in the activity.

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Complications of hysteroscopy and how to avoid them

Cited by 27 publications

References 39 publications

A systematic review and meta‐analysis of randomized controlled trials comparing hysteroscopic morcellation with resectoscopy for patients with endometrial lesions

A systematic review and meta‐analysis of randomized controlled trials comparing hysteroscopic morcellation with resectoscopy for patients with endometrial lesions

Factors Associated with the Complications of Hysteroscopic Myomectomy

Distending Media Used During Hysteroscopy: Perioperative Nursing Implications

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