Operative hysteroscopy: American Association of Gynecologic Laparoscopists' 1993 membership survey

Hulka, Jaroslav F.; Peterson, H. A.; Phillips, Jordan M.; Surrey, M.

doi:10.1016/s1074-3804(05)80004-0

Cited by 75 publications

(44 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].…”

Section: Discussionsupporting

confidence: 85%

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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: 85%

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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show abstract

“…The most frequently (14 per 1,000 procedures) reported nonfatal complication of hysteroscopy is uterine perforation. Intrauterine hemorrhage during or just after the procedure is the second most common complication of hysteroscopy and occurs in 2.5 of every 1,000 cases [2] . Distension media-related complications such as fluid overload-induced water intoxication, pulmonary edema, air emboli, anaphylaxis, and pulmonary hemorrhage [3,4] , have been reported.…”

Section: Resultsmentioning

confidence: 99%

Lung Collapse Induced by Pulmonary Hemorrhage: A Rare Complication of Hysteroscopy

Su¹,

Wu²,

Chou³

et al. 2006

Gynecol Obstet Invest

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“…Fluid volume overload, uterine perforation, hemorrhage, bowel and urinary tract injuries, and gas embolization have occurred in fewer than 1% of procedures according to one survey [1,2]. The most frequent reported complication was uterine perforation, but this did not always cause significant problems [3]. However, we present a life-threatening case of abdominal compartment syndrome resulting from uterine perforation.…”

Section: Introductionmentioning

confidence: 81%

Abdominal compartment syndrome occurring due to uterine perforation during a hysteroscopy procedure

et al. 2010

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We report a case of abdominal compartment syndrome occurring due to uterine perforation while the patient was undergoing hysteroscopic uterine adhesiolysis for uterine synechia. The cause of the patient's abdominal compartment syndrome was irrigation fluid moving from the uterine cavity into the peritoneal space via defects in the uterus. Anesthesiologists must be alert for these complications during hysteroscopy procedures.

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Operative hysteroscopy: American Association of Gynecologic Laparoscopists' 1993 membership survey

Cited by 75 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

Lung Collapse Induced by Pulmonary Hemorrhage: A Rare Complication of Hysteroscopy

Abdominal compartment syndrome occurring due to uterine perforation during a hysteroscopy procedure

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