I-23: Hysteroscopic Complications
author
Abstract:
Hysteroscopic complications are infrequent. Major complications include: 1. Uterine perforation that is the most common complication of operative hysteroscopy (0.8 - 1.6 %). The perforation rate is less during diagnostic hysteroscopy. 2. Bowel or bladder injury which is rare, but may occur in association with uterine perforation or as a result of use of electrical current. 3. Cervical lacerations which can occur, particularly in women with cervical stenosis in post menopausal patients, or pre operative use of GnRha. Misoprostol is a promising cervical ripening agent used before hysteroscopy in premenopausal women, but its role in postmenopausal women is yet to be determined 4. Excessive fluid absorption that is related to distending media vary according to the patient status and the media used. 5. Embolism (air or carbon dioxide) that can occur with any hysteroscopic technique and can cause cardiovascular collapse. 6. Hemorrhage that is common causes of bleeding and are operative sites bleeding, uterine perforation, and cervical laceration. Continuous bleeding can be treated by placing a Foley catheter in the uterine cavity and then distending the bulb with 15 to 30 mL of normal saline. 7. Electrosurgical injury that is thermal effects of electrical (or laser) energy and can cause injuries to the uterine cavity, as well as bowel, urinary bladder, and large pelvic vessels. One must be cautious if coagulating in the tubal recesses. Electrode insulation defects can also cause thermal injury. 8. Infection which its risk after operative hysteroscopy is low.9. Dissemination of tumor in which iatrogenic positive peritoneal washing does not increase mortality.
similar resources
I-23: Mild Stimulation in ART
Background The conventional ovarian stimulation protocol aims to provide the maximum number of oocytes for fertilization which is lead to several embryos for selecting to transfer. There are some complications in this case like; OHSS, Multiple gestation, Time consuming, Patients discomfort, High costs, Emotional distress and Reduced implantation rate due to the embryo- endometrial asynchrony. R...
full textO-23: Hysteroscopic Polypectomy without Cycle Cancellation in IVF/ICSI Cycles: A Matched Case-Control Study
Background The effect of hysteroscopic polpectomy for endometrial polyps during treatment cycles is still debated and further studies are necessary to evaluate beneficial effect of this procedure. MaterialsAndMethods This matched case-control study compared retrospectively 86 women with and without hysteroscopic polypectomy who underwent in vitro fertilization and / or Intracytoplasmic sperm in...
full textI-23: The Role of Hysteroscopy in Sub Mucosal Myoma
Hysteroscopy is a method through which endometrial cavity can be observed and manipulated transcervically. The association of sub serous fibroids and intramural fibroids with infertility is controversial. But the role of sub mucous fibroids which are reported in 5%-18% of patients as a causal factor for infertility is likely. Sub mucous fibroids are postulated to cause menometrorrhagia, sub fer...
full textI-23: Reproduction and Toll Like Receptors(TLRs
Female and male reproductive tracts are of interest sites to study of immune system because they encounter specific infections such as those are sexually transmitted. Furthermore, female reproductive tract is in close contact with allogenic sperms and transmitted microorganisms during intercourse and semi allogenic fetus during pregnancy. In mammals, there are two types of immune responses, the...
full textI-23: Freezing Oocytes: New or Old Ethical Issues?
Background: This paper considers whether the development of oocyte freezing raises any new or distinctive ethical issues. It will examine the ethical issues raised by this technique: the ’social’ use of egg freezing and how that might be defined; the use of egg freezing for cancer patients; and limitations and benefits of the technique. Materials and Methods: A consideration of the literature a...
full textMy Resources
Journal title
volume 7 issue 3
pages 11- 11
publication date 2013-09-01
By following a journal you will be notified via email when a new issue of this journal is published.
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023