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Klyucharov I.V.

Institute of Fundamental Medicine and Biology of Kazanskij (Privolzshskij) Federal University;
Kazan Federal University;
Kazanskij (Privolzshskij) Federal University

Makarenko T.A.

Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky of the Ministry of health of the Russia

Galkina D.E.

V.F. Vojno-Jasenetskij Krasnojarskij State Medical University

Popov A.A.

Moscow Regional Research Institute of Obstetrics and Gynecology;
Moskvorechye Clinic

Bespalova A.G.

Moscow Regional Research Institute of Obstetrics and Gynecology

Complications of hysteroscopy and hysteroresectoscopy: diagnosis, treatment, prevention

Authors:

Klyucharov I.V., Makarenko T.A., Galkina D.E., Popov A.A., Bespalova A.G.

More about the authors

Read: 12489 times


To cite this article:

Klyucharov IV, Makarenko TA, Galkina DE, Popov AA, Bespalova AG. Complications of hysteroscopy and hysteroresectoscopy: diagnosis, treatment, prevention. Russian Bulletin of Obstetrician-Gynecologist. 2022;22(1):58‑65. (In Russ.)
https://doi.org/10.17116/rosakush20222201158

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References:

  1. https://sudact.ru/regular/doc/M15uEoNGnCrO/
  2. Michela Proietti, Giorgia Martone. l’ansia per l’isteroscopia e l’arresto cardiaco sotto i ferri: «Non riusciamo a crederci». 2021. https://www.corriere.it/cronache/21_gennaio_31/giorgia-martone-malattia-42eeb34c-63a6-11eb-a44f-6ffd36d7208d.shtml
  3. Davydov AI, Strizhakov AN. Operative hysteroscopy. M.: Dinastiya; 2015. (In Russ.).
  4. Savel’eva GM, Breusenko VG, Kappusheva LM. Hysteroscopy. Atlas and Guide. M.: GEOTAR-Media; 2014. (In Russ.).
  5. Davydov AI, Strizhakov AN, Novruzova NKh. Complications of surgical hysteroscopy: prevention and treatment. Voprosy ginekologii, akusherstva i perinatologii. 2016;15:6:52-60. (In Russ.). https://doi.org/10.20953/1726-1678-2016-6-52-60
  6. Propst AM, Liberman RF, Harlow BL, Ginsburg ES. Complications of hysteroscopic surgery: predicting patients at risk. Obstet Gynecol. 2000;96:517-520.  https://doi.org/10.1016/s0029-7844(00)00958-3
  7. Bagdasaryan AR, Sarkisov SE. Complications of diagnostic and operative hysteroscopy. Akusherstvo i ginekologiya. 2014;1:36-40. (In Russ.).
  8. Munro MG, Christianson LA. Complications of hysteroscopic and uterine resectoscopic surgery. Clin Obstet Gynecol. 2015;58:4:765-797.  https://doi.org/10.1097/GRF.0000000000000146
  9. Pantaleoni DC. On endoscopic examination of the cavity of the womb. Med Press. 1869;8:26. 
  10. Jansen FW, Vredevoogd CB, Ulzen K. Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol. 2000;96:266-270. 
  11. McGuran PM, Mcllwaine P, Compliations of hysteroscopy and how to avoid them. Best Pract Res Clin Obstet Gynaecol. 2015;29:7:982-997.  https://doi.org/10.1016/j.bpobgyn.2015.03.009
  12. RCOG classification of operative hysteroscopy levels. https://stratog.rcog.org.uk/tutorial/uterine-cavity-surgery/operative-hysteroscopy-6132.
  13. Klyucharov IV, Khasanov AA, Galimova IR, Gayfullin RF. Modern technologies of intrauterine surgery: inpatient and outpatient perspectives. Prakticheskaya meditsina. 2015;89:4-1:83-88. (In Russ.).
  14. Pampalona JR, Bastos MD, Moreno GM, Pust AB, Montesdeoca GE, Garcia AG, Pruñonosa JCM, Collado RC, Torras PB. A comparison of hysteroscopic mechanical tissue removal with bipolar electrical resection for the management of endometrial polyps in an ambulatory care setting: preliminary results. J Minim Invasive Gynecol. 2015;22:3:439-445.  https://doi.org/10.1016/j.jmig.2014.12.004
  15. Bagdasaryan AR, Sarkisov SE. Perforation of the uterus during hysteroscopy. Opuholi zhenskoi reproduktivnoi sistemy. 2014;1:85-90. (In Russ.).
  16. Istre O. Managing bleeding, fluid absorption and uterine perforation at hysteroscopy. Best Pract Res Clin Obstet Gynaecol. 2009;23:5:619-629.  https://doi.org/10.1016/j.bpobgyn.2009.03.003
  17. Agostini A, Cravello L, Bretelle F, Shojai R, Roger V, Blanc B. Risk of uterine perforation during hysteroscopic surgery. J Am Assoc Gynecol Laparosc. 2002;9:3:264-267.  https://doi.org/10.1016/s1074-3804(05)60401-x
  18. Addley S, McMullan JC, Scott S, Soleymani Majd H. ‘Well-leg’ compartment syndrome associated with gynaecological surgery: a perioperative risk-reduction protocol and checklist. BJOG. 2021;128:9:1517-1525. https://doi.org/10.1111/1471-0528.16749
  19. Irvin W, Andersen W, Taylor P, Rice L. Minimizing the risk of neurologic injury in gynecologic surgery. Obstet Gynecol. 2004;103:2:374-382.  https://doi.org/10.1097/01.AOG.0000110542.53489.c6
  20. Umranikar S, Clark TJ, Saridogan E, Miligkos D, Arambage K, Torbe E, Campo R, Di Spiezio Sardo A, Tanos V, Grimbizis G; British Society for Gynaecological Endoscopy/European Society for Gynaecological Endoscopy Guideline Development Group for Management of Fluid Distension Media in Operative Hysteroscopy. BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy. Gynecol Surg. 2016;13:4:289-303.  https://doi.org/10.1007/s10397-016-0983-z
  21. Klyucharov IV, Morozov VV. Electrical energy in hysteroscopy. Prakticheskaya meditsina. 2017;108:7:47-50. (In Russ.).
  22. Klyucharov IV, Prokhorov EI, Borisov SL, Kadyrov RF, Fakhrutdinov RN. Preset and real pressure in the uterine cavity. The accuracy of our hysteropumps. Prakticheskaya meditsina. 2015;89:4-1:79-82. (In Russ.).
  23. Sadykova A.A. Methods and tools for measuring intracavitary pressure and the rate of its measurement in hysteroscopic studies. Automation and electronic instrumentation. An article in the proceedings of the conference. 2016;257-260. (In Russ.).
  24. Karaman E, Kolusarı A, Çetin O, Çim N, Alkış İ, Karaman Y, Güler S. What should the optimal intrauterine pressure be during outpatient diagnostic hysteroscopy? A randomized comparative study. J Obstet Gynaecol Res. 2017;43:5:902-908.  https://doi.org/10.1111/jog.13293
  25. Bagdasaryan A.R., Sarkisov S.E. Hyponatremia — hyperhydration during hysteroscopy. Akusherstvo i ginekologiya. 2014;4:46-50. (In Russ.).
  26. Agostini A, Bretelle F, Ronda I, Roger V, Cravello L, Blanc B. Risk of vasovagal syndrome during outpatient hysteroscopy. J Am Assoc Gynecol Laparosc. 2004;11:2:245-247.  https://doi.org/10.1016/s1074-3804(05)60207-1
  27. Korennaya VV. Outpatient hysteroscopy. Practical recommendations. Consilium Medicum. 2015;06:28-31. (In Russ.).
  28. Klyucharov IV, Morozov VV, Hasanov AA, Kamalova RR, Klyucharova AR, Morozova SI, Avdeeva VA, Paunich AA. Vasovagal attacks and level of painful sensations during office hysteroscopy in Betocchi mode. Prakticheskaya meditsina. 2018;113:2:87-90. (In Russ.).
  29. Wieling W, Ganzeboom KS, Saul JP. Reflex syncope in children and adolescents. Heart. 2004;90:9:1094-1100. https://doi.org/10.1136/hrt.2003.022996
  30. Cicinelli E. Hysteroscopy without anesthesia: review of recent literature. J Minim Invasive Gynecol. 2010;17:6:703-708.  https://doi.org/10.1016/j.jmig.2010.07.003
  31. Finikiotis, G. Side-effects and complications of outpatient hysteroscopy. Australian and New Zealand J Obstet Gynaecol. 1993:33:61-62.  https://doi.org/10.1111/j.1479-828X.1993.tb02056.x
  32. Brevik H, Borchgrevink PC, Allen SM, Rosseland LA, Romundstad L, Breivik Hals EK, Kvarstein G, Stubhaug A. Assessment of pain. Br J Anaesth. 2008;101:1:17-24.  https://doi.org/10.1093/bja/aen103
  33. Bettochi S, Nappi L, Ceci O, Santoro A, Fattizzi N, Nardelli C, Cormio G, Depalo R. The role of office hysteroscopy in menopause. J Am Assoc Gynecol Laparosc. 2004;11:1:103-106.  https://doi.org/10.1016/s1074-3804(05)60024-2
  34. De Iaco P, Marabini A, Stefanetti M, Del Vecchio C, Bovicelli L. Acceptability and pain of outpatient hysteroscopy. J Am Assoc Gynecol Laparosc. 2000;7:1:71-75.  https://doi.org/10.1016/s1074-3804(00)80012-2
  35. Cooper NA, Khan KS, Clark TJ. Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis. BMJ. 2010;340:c1130. Published 2010 Mar 23.  https://doi.org/10.1136/bmj.c1130
  36. Shveiky D, Rojansky N, Revel A, Benshushan A, Laufer N, Shushan A. Complications of hysteroscopic surgery: «Beyond the learning curve». J Minim Invasive Gynecol. 2007;14:2:218-222.  https://doi.org/10.1016/j.jmig.2006.07.019
  37. Agostini A, Cravello L, Shojai R, Ronda I, Roger V, Blanc B. Postoperative infection and surgical hysteroscopy. Fertil Steril. 2002;77:4:766-768.  https://doi.org/10.1016/s0015-0282(01)03252-6
  38. Aas-Eng MK, Langebrekke A, Hudelist G. Complications in operative hysteroscopy — is prevention possible? Acta Obstet Gynecol Scand. 2017;96:12:1399-1403. https://doi.org/10.1111/aogs.13209
  39. Malachinskaya MI. Office hysteroscopy is a question of preventing inflammatory complications. Zdorov’e zhenshchiny. 2015;3:99:60. (In Russ.).
  40. van Kerkvoorde TC, Veersema S, Timmermans A. Long-term complications of office hysteroscopy: analysis of 1028 cases. J Minim Invasive Gynecol. 2012;19(4):494-497.  https://doi.org/10.1016/j.jmig.2012.03.003
  41. Selikhova MS, Vdovin SV, Mikhailovskaya MV. Optimization of Antibiotic Prophylaxis in Minor Gynecologic Operations. Antibiotiki i khimioterapiya. 2015;60:11-12:39-42. (In Russ.).
  42. Klyucharov IV, Morozov VV, Khasanov AA, Ampilova EA, Yusupov KF. The value of antibiotic therapy and hysteroscopy techniques in the prevention of infectious and inflammatory complications. Kazanskii meditsinskii zhurnal. 2017;98:5:857-861. (In Russ.).
  43. Vozgoment OV. Air embolism as a complication of fluid hysteroscopy (Version). Trudnyi patsient. 2013;11:10:38-41. (In Russ.).
  44. Wang QM, Liu HL, Dang Q. Acute trophoblastic pulmonary embolism during conservative treatment of placenta accreta: case report and review of literature. Eur J Med Res. 2015;20:91.  https://doi.org/10.1186/s40001-015-0185-6
  45. Sabsovich I, Abel M, Lee CJ, Spinelli AD, Abramowicz AE. Air embolism during operative hysteroscopy: TEE-guided resuscitation. J Clin Anesth. 2012;24:6:480-486.  https://doi.org/10.1016/j.jclinane.2012.01.002
  46. Vilos GA, Hutson JR, Singh IS, Giannakopoulos F, Rafea BA, Vilos AG. Venous gas embolism during hysteroscopic endometrial ablation: Report of 5 Cases and review of the literature. J Minim Invasive Gynecol. 2020;27:3:748-754.  https://doi.org/10.1016/j.jmig.2019.05.003
  47. Bagdasaryan AR, Sarkisov SE. Ways of preventing air embolism during hysteroscopy. Akusherstvo i ginekologiya. 2014;9:33-36. (In Russ.).
  48. Elahmedawy H, Snook NJ. Complications of operative hysteroscopy: an anaesthetist’s perspective. BJA Educ. 2021;21:7:240-242.  https://doi.org/10.1016/j.bjae.2021.03.001
  49. Walker SH, Gokhale L. Safety aspects of hysteroscopy, specifically in relation to entry and specimen retrieval: a UK survey of practice. Gynecol Surg. 2018;15:1:2.  https://doi.org/10.1186/s10397-018-1036-6
  50. Courdier S, Garbin O, Hummel M, Thoma V, Ball E, Favre R, Wattiez A. Equipment failure: causes and consequences in endoscopic gynecologic surgery. J Minim Invasive Gynecol. 2009;16:1:28-33.  https://doi.org/10.1016/j.jmig.2008.08.019
  51. Closon F, Tulandi T. Future research and developments in hysteroscopy. Best Pract Res Clin Obstet Gynaecol. 2015;29:7:994-1000. https://doi.org/10.1016/j.bpobgyn.2015.03.008
  52. Connor M. New technologies and innovations in hysteroscopy. Best Pract Res Clin Obstet Gynaecol. 2015;29:7:951-965.  https://doi.org/10.1016/j.bpobgyn.2015.03.012

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