[Analysis on the complications of hysteroscopic surgeries].
OBJECTIVE
To investigate the causations, management and prevention methods on the complications of hysteroscopic procedures.


METHODS
Retrospective analysis of 36 cases with hysteroscopic complication, focusing on their characteristics and clinical management as well as prevention methods during the ten years from 1993 to 2004.


RESULTS
Among 36 cases, 11 cases with uterine perforation and incomplete perforation, which happened during the complicated procedures, were treated by both laparoscopy and laparotomy. Five cases with heavy bleeding were encountered because of the deeply injury to the uterine wall and Foley catheter was inserted into uterine cavity and it stopped the bleeding successfully except in one case done by hysterectomy. Three cases with fluid overload syndrome were cured by using diuretic agent and saline infusion. There is no serious consequence in one case with air embolism due to prompt diagnosis and treatment. Four cases with postablation-sterilization syndrome were treated effectively by performing hysterectomy plus single or bilateral salpingectomy, dilating cervical canal as well as resecting adhesions. Twelve cases with adhesion inside uterine cavity followed hysteroscopy were also treated by dilating cervical canal, underwent adhesionlysis and hysterectomy.


CONCLUSIONS
The potential factors causing complications of hysteroscopy include complicated procedures inside uterine cavity, higher pressure of irrigation, deep injury of endometrium as well as incomplete removal of endometrium during hysteroscopic operations. It is the necessary measures to reduce the complications by performing laparoscopy or B ultrasound monitoring simultaneously, standardizing the procedure and strengthening postoperation management.
Duan
Hua
H
Hysteroscopic Center, Affiliated Fuxing Hospital, Capital University of Medical Sciences, Beijing 100038, China.
Xia
En-lan
EL
Zhang
Mei
M
Yu
Dan
D
Peng
Xue-bing
XB
Cheng
Jiu-mei
JM
Zheng
Jie
J
D004717:Endometrium / Q000293:injuries; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D012189:Retrospective Studies; D014595:Uterine Perforation / Q000209:etiology* / Q000628:therapy; D014599:Uterus / Q000293:injuries*