title: Long-term complications of office hysteroscopy: analysis of 1028 cases.
abstract: OBJECTIVE
  To estimate the long-term complication rate of office hysteroscopy with the vaginoscopic approach.
  
  
  METHODS
  Retrospective cohort study (Canadian Task Force classification II-A).
  
  
  METHODS
  University-affiliated teaching hospital with outpatient hysteroscopy facilities.
  
  
  METHODS
  Between January 2005 and October 2007, all consecutive patients undergoing office hysteroscopy with the vaginoscopic approach were analyzed, 1028 procedures in total.
  
  
  METHODS
  Therapeutic or diagnostic office hysteroscopy with the vaginoscopic approach. The complication registration of the gynecology department and a random sample of one third of the medical records were analyzed for long-term complications.
  
  
  RESULTS
  Of the 1028 hysteroscopic procedures, 622 (60%) were diagnostic, 328 (32%) were therapeutic hysteroscopic procedures, and 78 (8%) procedures failed. In the complication registration and in the medical charts, 1 significant complication could be identified.
  
  
  CONCLUSIONS
  Office hysteroscopy with the vaginoscopic approach is a safe procedure. This study showed an extremely low risk of long-term complications.
authors.affiliation: Department of Obstetrics and Gynecology, St. Antonius Hospital, Nieuwegein, The Netherlands. tcvankerkvoorde@hotmail.com
authors.forename: T C
authors.initials: TC
authors.lastname: van Kerkvoorde
authors.forename: S
authors.initials: S
authors.lastname: Veersema
authors.forename: A
authors.initials: A
authors.lastname: Timmermans
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects*; D005260:Female; D005334:Fever / Q000209:etiology*; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery; D014621:Vagina; D055815:Young Adult