Complications of hysteroscopic surgery: "Beyond the learning curve"

David Shveiky, Nathan Rojansky, Ariel Revel, Abraham Benshushan, Neri Laufer, Asher Shushan
Journal of Minimally Invasive Gynecology 2007, 14 (2): 218-22

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.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.