Postoperative infection and surgical hysteroscopy.
OBJECTIVE
To evaluate the risk of infection after surgical hysteroscopy.


METHODS
Prospective observational study.


METHODS
University hospital.


METHODS
One thousand nine hundred fifty-two patients requiring operative hysteroscopy during a 10-year period from January 1990 to January 2000.


METHODS
Two thousand one hundred sixteen operative hysteroscopies were performed: 782 fibroma resections, 422 polyp resections, 623 endometrectomies, 90 uterine septa sections, and 199 lyses of synechiae.


METHODS
Postoperative infectious complications.


RESULTS
Thirty (1.42%) infections occurred. There were 18 (0.85%) cases of endometritis and 12 urinary tract infections. No other severe infectious complications were reported. The risk for early-onset endometritis was higher after lysis of synechiae compared with endometrectomy, fibroma, or polyp resections. However, the risk for early-onset endometritis was similar for endometrectomy, septa, fibroma, or polyp resections.


CONCLUSIONS
Infectious risk following surgical hysteroscopy is low. No major infectious complications occurred. Risk for early-onset endometritis was higher after lysis of synechiae compared with other procedures.
Agostini
Aubert
A
Service de Gynécologie, Hôpital la Conception, Marseille, France. agostini@wanadoo.fr
Cravello
Ludovic
L
Shojai
Raha
R
Ronda
Isabelle
I
Roger
Valérie
V
Blanc
Bernard
B
D004716:Endometritis / Q000453:epidemiology; D004717:Endometrium / Q000601:surgery; D013293:Enterococcus faecalis / Q000302:isolation & purification; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D007239:Infections / Q000453:epidemiology*; D007889:Leiomyoma / Q000601:surgery; D011127:Polyps / Q000601:surgery; D011183:Postoperative Complications; D011446:Prospective Studies; D013203:Staphylococcal Infections / Q000453:epidemiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000382:microbiology