Safety issues of hysteroscopic surgery

Area of Science:

• Gynecology
• Minimally Invasive Surgery

Background:

• Hysteroscopy provides endoscopic visualization of the endometrial cavity.
• It is utilized for both diagnosing and treating various female pathologies.

Purpose of the Study:

• To review the diagnostic and operative applications of hysteroscopy.
• To discuss the success and complication rates associated with hysteroscopy procedures.

Main Methods:

• Review of existing literature on hysteroscopy.
• Analysis of diagnostic and operative hysteroscopy success and complication rates.

Main Results:

• Diagnostic hysteroscopy is generally safe.
• Operative hysteroscopy has higher complication rates, including uterine perforation, hemorrhage, and fluid overload.
• Complication frequency depends on procedure type, distending medium, and surgeon experience.

Conclusions:

• Hysteroscopy is a key tool in gynecological diagnostics and treatment.
• Minimizing operative hysteroscopy risks requires careful preoperative and intraoperative management.
• Precautions such as using endometrial thinning agents and limiting operative time are crucial.