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Updated: Mar 23, 2026

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[COMPLICATIONS OF DIAGNOSTIC AND OPERATIVE HYSTEROSCOPY--REVIEW].

T Stankova, A Ganovska, M Stoianova

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    Summary
    This summary is machine-generated.

    Hysteroscopy, a minimally invasive gynecologic procedure, has rare complications (0.95-13.6%) occurring more in operative than diagnostic cases. Uterine perforation and fluid overload are key risks requiring prompt gynecologist intervention.

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    Area of Science:

    • Gynecology
    • Minimally Invasive Surgery

    Context:

    • Hysteroscopy is a common gynecologic procedure.
    • Complication rates range from 0.95% to 13.6% based on retrospective studies.
    • Operative hysteroscopy presents a higher risk of complications than diagnostic procedures.

    Purpose:

    • To outline the potential complications associated with hysteroscopy.
    • To categorize hysteroscopy complications into those related to cervical dilation and operative technique.
    • To highlight the most frequent (uterine perforation) and severe (fluid overload) complications.

    Summary:

    • Complications are divided into cervical (e.g., laceration, perforation, bleeding) and operative (e.g., uterine perforation, fluid overload, trauma, infection).
    • Uterine perforation occurs in 1-9% of cases, while fluid overload is the most severe complication (0.01-11%).
    • Thorough understanding and prompt management of complications are crucial for patient safety and legal protection.

    Impact:

    • Informed gynecologists can minimize patient risks and potential legal issues.
    • Highlights the importance of specialized training in managing hysteroscopy-related adverse events.
    • Emphasizes the need for vigilance regarding uterine perforation and fluid overload during hysteroscopy.