Original articlesComplications of hysteroscopy: a prospective, multicenter study
Section snippets
Materials and methods
All 130 gynecologic units in The Netherlands were invited to participate in a prospective study of surgical complications of hysteroscopy. Eighty-two (63%) agreed to participate and received questionnaires to record complications immediately after hysteroscopic procedures. A complication was defined as an unexpected event during hysteroscopy that required further treatment (eg, stopping procedures because of excessive fluid overload, longer postoperative observation, or further laparoscopy or
Results
Among 82 participating hospitals, 29 (35%) were teaching hospitals and 53 were not. The median number of gynecologists in the participating hospitals was 5.0 (range 1–20). Among 48 hospitals that did not participate, the percentage of teaching hospitals was substantially less (seven of 48, 15%), and they had a lower median number of gynecologists in each hospital (3.5 [range 1–17]). Among responders, the median number of diagnostic procedures done by each gynecologist was 40 (range 5–348). For
Discussion
The development of hysteroscopy came relatively late compared with other endoscopic procedures, possibly because of particular difficulties peculiar to the uterus, including narrowness of the uterine cervix, fragility of the endometrium, and the practical problem of ensuring thorough cleansing of the uterine cavity by a distending medium to allow clear viewing.15 Although hysteroscopy is an important diagnostic tool in gynecology, a small percentage (rate 0.13%) ends in undesirable events and
References (25)
- et al.
Intrauterine pressure and fluid absorption during continuous flow hysteroscopy
Am J Obstet Gynecol
(1992) - et al.
Medical Research Council randomised trial of endometrial resection versus hysterectomy in management of menorraghia
Lancet
(1997) HysteroscopyAn evolving case of minimally invasive therapy in gynaecology
Health Policy
(1993)Good practice with endometrial ablation
Obstet Gynecol
(1995)EndoscopyHysteroscopy
Fatal toxic shock syndrome following endometrial resection
Br J Obstet Gynaecol
(1995)- et al.
Fatal infection following transvaginal fibroid resection
Gynaecol Endosc
(1995) Third-trimester uterine rupture following hysteroscopic uterine perforation
Obstet Gynecol
(1993)- et al.
Hysteroscopic resection of fibroid with thermal injury to sigmoid
Obstet Gynecol
(1992) - et al.
Disseminated intravascular coagulopathy and adult respiratory distress syndromeLife-threatening complications of hysteroscopy
Am J Obstet Gynecol
(1990)
Experience with the first 250 endometrial resections for menorraghia
Lancet
Complications of operative hysteroscopy
Gynaecol Endosc
Cited by (378)
Guideline No. 447: Diagnosis and Management of Endometrial Polyps
2024, Journal of Obstetrics and Gynaecology CanadaDirective clinique n<sup>o</sup> 447 : Diagnostic et prise en charge des polypes endométriaux
2024, Journal of Obstetrics and Gynaecology CanadaNonsteroidal anti-inflammatory drug with a local anesthetic compared to nonsteroidal anti-inflammatory drug alone significantly reduce the pain associated with vaginoscopic office hysteroscopy
2023, European Journal of Obstetrics and Gynecology and Reproductive BiologyEssure removal surgery: Are preoperative transvaginal ultrasound and pelvic X-ray necessary?
2023, European Journal of Obstetrics and Gynecology and Reproductive BiologyNonelectric shaving of endometrial polyp by hysteroscopy - A new technique to eliminate thermal damage
2023, European Journal of Obstetrics and Gynecology and Reproductive BiologyClinical analysis of complete uterine rupture during pregnancy
2024, BMC Pregnancy and Childbirth