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Complications in Hysteroscopy

  • Bruno J. van HerendaelEmail author
Chapter
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Abstract

Hysteroscopic surgery in general has a low risk of adverse events with an incidence of around 0.28% of 13,600 procedures according to a large Dutch multicentre study [1]. A similar incidence of 0.24% was found in a German observational study that included 21,676 procedures [2]. It is clear that the risk of complications is increased in more complex operative procedures; e.g. in hysteroscopic myomectomy the risk might be as high as 10% [3]. Complications of hysteroscopic surgery may be due to patient positioning, anaesthesia, access problems, use of distending media, gas emboli, perforation of the uterine wall, bleeding, use of instruments, or infection, or may be caused by the formation of intrauterine adhesions (IUAs), dissemination of endometrial cancer cells, or unwanted pregnancy [4]. Randomized controlled trials (RCTs) on the effectiveness of strategies to prevent complications do exist. A large body of the presented evidence on complications due to hysteroscopic surgery is based on observational studies.

Keywords

Hysteroscopic surgery Complications Incidence Distension media Gas media Liquid media Instruments Dissemination 

Supplementary material

453976_1_En_23_MOESM1_ESM.zip (60 kb)
Image 23.1 Perforated left Essure recognised during laparoscopic removal (JPG 50 kb)
453976_1_En_23_MOESM2_ESM.zip (53 kb)
Image 23.2 Perforated right Essure recognised 3 months after placement by curled presentation (JPG 44 kb)
453976_1_En_23_MOESM3_ESM.zip (153 kb)
Image 23.3 Chicken wing configuration left Essure recognised during laparoscopic removal (JPG 155 kb)
453976_1_En_23_MOESM4_ESM.zip (16 kb)
Image 23.4 Double perforation both Essure devices recognised 3 months after placement (JPG 192 kb)
453976_1_En_23_MOESM5_ESM.zip (38 kb)
Image 23.5 Perforated left Essure encapsulated in omentum recognised 3 months after placement (JPG 32 kb)
453976_1_En_23_MOESM6_ESM.zip (131 kb)
Image 23.6 Perforated left Essure recognised during laparoscopic removal, notice calcified second marker (JPG 129 kb)

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Gynaecologic SurgeryZNA Stuivenberg, Lange BeeldekensstraatAntwerpBelgium
  2. 2.Gynaecologic EndoscopyUniversità degli Studi dell’InsubriaVareseItaly

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