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Complications in operative hysteroscopy

V Tanos, MD, PhD
Epublication WebSurg.com, Feb 2015;15(02). URL: http://websurg.com/doi/lt03entanos005

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  • 2015-02-13
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Most hysteroscopic surgery complications can be prevented. Education and good training are definitely the most important factors for both novice and experienced surgeons to reduce complications risks. The most frequent complications in hysteroscopic surgery are uterine wall perforation (during dilatation, or during surgery) and uterine or cervical bleeding. Fluid overload can be reduced with the use of a bipolar resectoscope, normal saline being the distending medium. Air embolism is a life-threatening condition and all surgeons should be aware and ready for the adequate treatment. Complications related to anesthesia and especially to patients with concomitant pathologies can also be minimized using office hysteroscopic surgery procedures.