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Complications During Hysteroscopy

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Hysteroscopy

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Abstract

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.

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Author information

Authors and Affiliations

  1. Endoscopic Surgery, Università degli Studi dell’Insubria, Varese, Italy

    Bruno J. van Herendael M.D., Ph.D.

  2. Endoscopic Surgery Ziekenhuis Netwerk, Antwerpen, Belgium

    Bruno J. van Herendael M.D., Ph.D.

  3. Department of Obstetrics and Gynecology, Santa Maria Hospital, GVM Care & Research, Bari, Italy

    Antonio Malvasi M.D.

  4. Laboratory of Human Physiology, Department of Applied Mathematics, Moscow Institute of Physics and Technology (State University), Dolgoprudny, Moscow Region, Russia

    Antonio Malvasi M.D.

  5. Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy

    Simona Zaami M.D.

  6. Laboratory of Human Physiology, Department of Applied Mathematics, Moscow Institute of Physics and Technology, Moscow State University, Inststitutskii per 9, 141700, Dolgoprudny, Moscow, Russia

    Andrea Tinelli M.D., Ph.D.

  7. Division of Experimental Endoscopic Surgery, Imaging, Technology and Minimally Invasive Therapy, Department of Obstetrics and Gynecology, Vito Fazzi Hospital, Piazza Muratore, 73100, Lecce, Italy

    Andrea Tinelli M.D., Ph.D.

Authors
  1. Bruno J. van Herendael M.D., Ph.D.
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  2. Antonio Malvasi M.D.
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  3. Simona Zaami M.D.
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  4. Andrea Tinelli M.D., Ph.D.
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Corresponding author

Correspondence to Andrea Tinelli M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, Ospedale Vito Fazzi, Lecce, Italy

    Andrea Tinelli

  2. Hysteroscopy Unit, Gutenberg Institute, Malaga, Spain

    Luis Alonso Pacheco

  3. Hysteroscopy Unit, Hospital Del Mar, Barcelona, Spain

    Sergio Haimovich

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van Herendael, B.J., Malvasi, A., Zaami, S., Tinelli, A. (2018). Complications During Hysteroscopy. In: Tinelli, A., Alonso Pacheco, L., Haimovich, S. (eds) Hysteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-319-57559-9_51

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  • DOI: https://doi.org/10.1007/978-3-319-57559-9_51

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