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Chapter-11 Complications of Hysteroscopic Surgery

BOOK TITLE: Manual of Hysteroscopy

Author
1. Kar Sujata
ISBN
9789352703692
DOI
10.5005/jp/books/18028_12
Edition
1/e
Publishing Year
2018
Pages
8
Author Affiliations
1. Kar Clinics, Bhubaneswar, Kar Clinic, Advanced Infertility and IVF Center, Bhubaneswar, Odisha, India, Kar Clinic and Hospital Pvt Ltd, Bhubaneshwar, Orissa, India, Kar Clinic and Hospital Pvt Ltd, Bhubaneswar, Odisha, India, KCHPL, Bhubaneswar, Odisha, India
Chapter keywords
Hysteroscopic surgery, hysteroscopic instrument, fiber optic, digital video equipment, distention media, gas embolism, mechanical complication, traumatic complication

Abstract

Hysteroscopy is a minimally invasive gynecological procedure. The development of new hysteroscopic instruments, fiber optics, and digital video equipment has continued to provide more varied, efficacious, and less invasive procedures. The introduction of smaller-diameter hysteroscopes has allowed operative hysteroscopy to become a predominantly office and outpatient procedure. As with any procedure, this also has a few complications. Complications are broadly classified as mechanical or traumatic complications, electrosurgical and gaseous complications, gas embolism, complications from distention media, and long-term complications of hysteroscpic surgery. Excess absorption of distention media is one of the most frequent complications. Most surgeons use low-viscosity, sodium-free fluids for operative hysteroscopy, since fluids that contain electrolytes are incompatible with monopolar electrosurgical instruments. The use of 3% sorbitol, 1.5% glycine, or sorbitol-mannitol solutions can lead to dilutional hyponatremia and hypoosmolality.

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