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Complications of hysteroscopic surgery: "Beyond the learning curve".

Abstract：

STUDY OBJECTIVE:To investigate the actual complication rate of hysteroscopic surgery performed by experienced endoscopic surgeons in a single medical center. DESIGN:A prospective descriptive study (Canadian Task Force classification III). SETTING:An endoscopic gynecology unit at a tertiary care university hospital. PATIENTS:Women from 21 to 82 (median 45.0) years, undergoing operative hysteroscopy for uterine disease. INTERVENTION:Operative hysteroscopy with glycine or saline solution used as an irrigation medium. MEASUREMENTS AND MAIN RESULTS:Data of short-term complications were prospectively collected during surgery and at the 2-week follow-up visit. Six hundred procedures were investigated. The total complication rate was 3%, with 1% of uterine perforations. Two-thirds of the complications were related to cervical dilation or uterine entry, and infertility was found to be a risk factor. CONCLUSIONS:Hysteroscopic surgery, performed by a well-trained hysteroscopic surgeon, is a safe procedure with an overall complication rate of 3%. Most complications are related to cervical dilation or uterine entry techniques. Efforts therefore should be focused on identifying the patients at risk and finding novel techniques for cervical priming.

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Shveiky D,Rojansky N,Revel A,Benshushan A,Laufer N,Shushan A

doi

10.1016/j.jmig.2006.07.019

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

218-22

issue

2

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(06)00677-7

journal_volume

14

pub_type

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