Uterine perforation during hysteroscopy
https://doi.org/10.17650/1994-4098-2014-0-1-85-90
Abstract
Uterine perforation (UP) is the most common intraoperative complication during both diagnostic and operative hysteroscopy. According to the data obtained by different authors, the rate of UP ranges from 0,13 to 0,76 %. UP undetected timely during diagnostic or operative hysteros- copy is a special hazard: a physician, generally a novice physician, sometimes assesses inadequately the risk of surgical intervention and therefore overlooks UP, by continuing the performance of an already complicated operation, thus aggravating the severity of its consequences.
About the Authors
A. R. Bagdasaryan
Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow
Russian Federation
Russian Federation
S. E. Sarkisov
Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow
Russian Federation
Russian Federation
References
1. Федоров И.В., Сигал Е.И., Бурмистров М.В. Осложнения эндоскопической хирургии, гинекологии и урологии. Руководство для врачей. М., 2012. 288 с.
2. Селихова М.С., Белан Э.Б., Князева М.А. и др. Оптимизация ведения послеоперационного периода у пациенток после гистероскопии. Акуш и гинекол 2012;(4–2):125–8.
3. Хашукоева А.З., Водяник Н.Д., Хлынова С.А., Цомаева Е.А. Хронический эндометрит – проблема и решения. Лечащий врач 2012;(3):42–5.
4. Панкратов В.В., Ягудаева И.П., Давыдов А.И., Белоцерковцева Л.Д. Качество здоровья и отдаленные результаты гистерорезектоскопии у больных подслизистой миомой матки. Вопр гинекол, акуш и перинатал 2012;11(3):5–10.
5. Istre O. Managing bleeding, fluid absorption snd uterine perforation at hysteroscopy. Best Pract Res Clin Obstet Gynaecol 2009;23(5):619–29.
6. Wortman M. Complications of Gynecologic Endoscopic Surgery. Saunders Еlsevier, 2006; 206.
7. Shveiky D., Rojansky N., Revel A. et al. Complications of hysteroscopic surgery: “Beyond the lerning curve”. J Minim Invasive Gynecol 2007;14(2):218–22.
8. Sagiv R., Sadan O., Boaz M. et al. A new approach to office hysteroscopy compared with traditional hysteroscopy: a randomized controlled trial. Obstet Gynecol 2006;108(2):387–92.
9. Munro М. G. Complications of hysteroscopic and uterine resectoscopic surgery. Obstet Gynecol Clin North Am 2010;37(3):399–425.
10. Hefler L., Lemach A., Seebacher V. et al. The intraoperative complication rate of nonobstetric dilation and curettage. Obstet Gynecol 2009;113(6):1268–71.
11. Anger J.T., Litwin M.S., Wang Q. et al. Complications of sling surgery among female Medicare beneficiaries. Obstet Gynecol 2007;109(3):707–14.
12. Di Spiezio Sardo A., Taylor A., Tsirkas P. et al. Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies. Fertil Steril 2008;89(2):438–43.
Review
For citations:
Bagdasaryan A.R., Sarkisov S.E. Uterine perforation during hysteroscopy. Tumors of female reproductive system. 2014;(1):85-90. (In Russ.) https://doi.org/10.17650/1994-4098-2014-0-1-85-90
Views:
2978
Email this article 