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[Complications of operative hysteroscopy]
A Agostini1, F Bretelle, L Cravello
1Service de gynécologie obstétrique Secteur B, Hôpital La Conception, 147 Bd Baille, 13005 Marseille. AAGOSTINI@mail.ap-hm.fr
Objectives:
Assess the prevalence and severity of the various complications of operative hysteroscopy, the context in which they occur and the treatments proposed.
Method:
A single-center observational study from 1/1/90 to 1/1/99 including 2,116 surgical hysteroscopies (resection of a fibroma (782) or polyp (422), section of a septate uterus (199), synechia uteri (90) and endometrectomy (623)).
Results:
There were 74 complications (3.5%). The most frequent was uterine perforation (34 cases (1.61%)). There were 13 cases of haemorrhage (0.61%), 16 cases of post-surgical fever (0.76%) and 11 metabolic complications (0.47%). Synechia uteri was the surgical intervention with the greatest risk of complications.
Conclusions:
The complications of surgical hysteroscopy are rare and relatively benign. Uterine perforation appears to predominate. In our study, the risk of complication was enhanced in the case of synechia uteri.