Complications of operative hysteroscopy

Cayuela, Enric; Cos, R; Onbargi, L; Moreno, M; Mellado, Felipe; Heredia, Fernando Martínez; Foradada, CM

doi:10.1016/s1074-3804(96)80148-4

Cited by 13 publications

(4 citation statements)

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“…The acute complication rate associated with this procedure in this study is 5.0%, which is similar to that reported elsewhere in the medical literature with rates varying between 0.28% and 5.2% [7,8]. The main acute complications in the other study were found to be false passage and uterine perforation (60% -83% of all acute complications) [5][6][7][8], which did not occur in our study. Propst et al report fluid overload as the most common complication [9].…”

Section: Discussionsupporting

confidence: 88%

“…In the present study, as in that of Hulka and Hidlebaugh, the most common indication for performing this procedure was a complaint of abnormal uterine bleeding [5,6]. The acute complication rate associated with this procedure in this study is 5.0%, which is similar to that reported elsewhere in the medical literature with rates varying between 0.28% and 5.2% [7,8]. The main acute complications in the other study were found to be false passage and uterine perforation (60% -83% of all acute complications) [5][6][7][8], which did not occur in our study.…”

Section: Discussionsupporting

confidence: 86%

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Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Kim¹,

Lee²,

Chung³

et al. 2013

OJOG

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Objective: The purpose of this study was to evaluate the efficacy, safety, and benefits of hysteroscopic surgery in the treatment of dysfunctional uterine bleeding (DUB) or intrauterine lesions causing uterine bleeding. Methods: This study prospectively enrolled 100 patients who underwent operative hysteroscopy in tertiary referral university center because of uterine bleeding due to endometrial polyps or uterine submucosal leiomyomas diagnosed by transvaginal ultrasonogram. Indications for the operative hysteroscopies included abnormal uterine bleeding (AUB), ultrasound findings indicative of intrauterine lesions, and DUB. After operative hysteroscopic management, we inserted anti-adhesive solution, sodium hyaluronate and carboxymethyl cellulose into the uterine cavity. Results: Operative hysteroscopy was a successful procedure in 100 of 100 cases (100%) but it needed to be repeated in three cases with large uterine submucosal leiomyoma and after two endometrial polypectomy. Mean duration of the procedure was 23.2 minutes (range 5 -67) and postoperative hospital stay was 7 hours (range 3 -48). Most common indication was DUB (39%), submucosal leiomyoma was 21%, and endometrial polyp was 17%. There were five cases with postoperative uterine bleeding and none with fluid overload syndrome. During postoperative follow-up (3 -28 months) the majority of patients (90/100, 90%) were free of symptoms. Conclusion: Hysteroscopic procedure is an effective and safe method for the management of benign intracavitary pathology or the treatment of dysfunctional uterine bleeding. Although sodium hyaluronate and carboxymethyl cellulose seems to be effective in the prevention of adhesion in uterine cavity, further study will be needed to prove the effectiveness of anti-adhesive solution.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Kim¹,

Lee²,

Chung³

et al. 2013

OJOG

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“…Il s'agit d'une solution de faible osmolarité (200 mosmol/L), hypotonique, faiblement hémolytique et métabolisée en sérine et acide glyoxalique. En cas de résorp-tion intravasculaire excessive, il existe un risque de troubles hydroélectrolytiques et d'oedème cérébral à l'origine de lésions neurologiques irréversibles et même de décès [11].…”

Section: éNergies Monopolaire Et Bipolaireunclassified

Myomectomie hystéroscopique utilisant l’énergie bipolaire : vers un « gold standard » ?

Dubuisson

Golfier

Raudrant

2011

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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“…[1][2][3] Lateral-wall injuries are known to be more often associated with bleeding. 4 In this paper, the case of a false passage, which led to a transection of the uterine artery, is reported.…”

Section: Introductionmentioning

confidence: 99%

Incidental Uterine Artery Transection at Operative Hysteroscopy

Gemer

Kovachev

Anteby

et al. 2008

Journal of Gynecologic Surgery

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Background: Uterine perforation and false passage are occasional complications of operative hysteroscopy. Case Report: A 76-year-old woman underwent an operative hysteroscopy owing to postmenopausal bleeding and suspicious ultrasonographic intracavitary findings. A false passage through the wall of the cervix, created by the cervical dilators, was apparent upon the introduction of the hysteroscope. Bipolar coagulation employed to arrest bleedings led to the transection of the uterine artery. As no further bleeding ensued, the procedure was completed by resecting an endometrial polyp. Conclusions: Inadvertent injury to the uterine artery may further complicate false passage or perforation at hysteroscopy, underscoring the cautious usage of electocautery. (J GYNECOL SURG 24:89)

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Complications of operative hysteroscopy

Cited by 13 publications

References 0 publications

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Effects of operative hysteroscopy with anti-adhesive solution in the patients who have abnormal uterine bleeding or intrauterine lesions

Myomectomie hystéroscopique utilisant l’énergie bipolaire : vers un « gold standard » ?

Incidental Uterine Artery Transection at Operative Hysteroscopy

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