Open AccessComplications in operative hysteroscopy – is prevention possible?
Author(s) -
AasEng Mee Kristine,
Langebrekke Anton,
Hudelist Gernot
Publication year - 2017
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.13209
Subject(s) - medicine , hysteroscopy , uterine perforation , complication , perforation , adverse effect , surgery , psychological intervention , intensive care medicine , general surgery , family planning , population , materials science , environmental health , psychiatry , punching , research methodology , metallurgy
Operative hysteroscopy in a hospital setting has revolutionized surgical treatment of benign uterine disorders. It is minimally invasive, cost‐ and time‐effective, and may spare patients major surgical interventions. Operative hysteroscopy in a day‐case hospital setting is regarded as a safe and well‐tolerated procedure with low complication rates. However, prevention of adverse events is crucial in daily practice to optimize patient care. Complications in operative hysteroscopy can be divided into early complications, including bleeding, uterine perforation, infection and fluid overload, or late complications and suboptimal outcomes, such as incomplete resection and intrauterine adhesions. Awareness and knowledge of management of adverse events as well as the use of possible preventative measures will increase the quality and safety of hysteroscopic surgery. The present commentary focuses on these issues as an up‐to‐date basis for everyday clinical practice.