Hysteroscopy pp 563-578 | Cite as

Complications During Hysteroscopy

  • Bruno J. van Herendael
  • Antonio Malvasi
  • Simona Zaami
  • Andrea Tinelli


Operative hysteroscopy is a mini invasive technique to treat uterine cavity diseases. As surgical technique, even if mini invasive, unfortunately it is not without risks and complications. By technology progresses some of the complications occur less frequently when small barrel hysteroscopes are used, both in operative outpatient procedures and when small barrel resectoscopes are used. The procedure in general has a low risk of adverse effects with an incidence of 0.28% in 13,600 procedures. Indications for endoscopic surgery become wider therefore safety protocols become more important in the prevention of complications. This is particularly important as most complications do occur during the learning curve of the surgeons mastering the technique and in specific procedures, i.e. hysteroscopic myomectomy, where the risk of complications can be as high as 10%. The recommendation is also for hysteroscopic surgery to be graded according to the difficulty. In this chapter, we will discuss on the major and minor complications of hysteroscopic surgery, illustrating by figures and images and discussing on the solutions to reduce and treat complications.


Hysteroscopy Complications Uterine perforation Uterine bleeding Intravasation Dextran Glycine Post-TURP syndrome Infections 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Bruno J. van Herendael
    • 1
    • 2
  • Antonio Malvasi
    • 3
    • 4
  • Simona Zaami
    • 5
  • Andrea Tinelli
    • 7
    • 6
  1. 1.Endoscopic SurgeryUniversità degli Studi dell’InsubriaVareseItaly
  2. 2.Endoscopic Surgery Ziekenhuis NetwerkAntwerpenBelgium
  3. 3.Department of Obstetrics and Gynecology, Santa Maria HospitalGVM Care & ResearchBariItaly
  4. 4.Laboratory of Human Physiology, Department of Applied MathematicsMoscow Institute of Physics and Technology (State University)Dolgoprudny, Moscow RegionRussia
  5. 5.Department of Anatomical, Histological, Forensic and Orthopaedic SciencesSapienza University of RomeRomeItaly
  6. 6.Laboratory of Human Physiology, Department of Applied MathematicsMoscow Institute of Physics and Technology, Moscow State UniversityDolgoprudny, MoscowRussia
  7. 7.Division of Experimental Endoscopic Surgery, Imaging, Technology and Minimally Invasive Therapy, Department of Obstetrics and GynecologyVito Fazzi HospitalLecceItaly

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