The hazards and complications of hysteroscopy

In daily life, many diseases bother us. For example, common gynecological diseases require hysteroscopy. In this process, it is an operation. Many female friends will take this method to perform the operation. Let us understand the dangers of hysteroscopy.

Complications of hysteroscopy:

1. Injury

(1) Excessive traction and dilation of the cervix may cause cervical injury or bleeding.

(2) Uterine perforation: The uterine perforation rate of diagnostic hysteroscopic surgery is about 4%. The American Society of Gynecologic Laparoscopists recently reported that the uterine perforation rate of surgical hysteroscopy is 13.0%. Severe intrauterine adhesions, scarred uterus, excessive anteversion or retroflexion of the uterus, after cervical surgery, atrophic uterus, and lactating uterus are all prone to uterine perforation. Sometimes the perforation is not detected and the surgical procedure continues, which may cause serious intestinal damage. Perforation often occurs at the fundus of the uterus. Laparoscopic monitoring can also reduce the incidence of perforation. Once perforation occurs, the operation should be stopped, the instrument should be withdrawn, the perforation situation should be estimated, and abdominal pain and vaginal bleeding should be carefully observed. Perforation of a 5 mm scope has no obvious sequelae, but perforation during hysteroscopic surgery requires consideration of laparotomy or laparoscopy. Especially caution should be exercised when perforating due to electrocoagulation devices and lasers used in recent years. During transhysterectomy, the heat energy conduction may damage the intestines attached to the surface of the uterus, or the electrocoagulator may perforate into the abdominal cavity and burn the intestines, ureters and bladder. During hysteroscopic transurethral resection, laparoscopic monitoring can assist in clearing the bowel, confirming that the bladder is empty, and reducing the occurrence of complications. Fallopian tube catheterization under hysteroscopy may damage the uterine horns, carbon dioxide gas distension of the uterus may cause hydrosalpinx rupture, and gas may enter the broad ligament to form emphysema.

2. Bleeding

There is usually a small amount of vaginal bleeding after hysteroscopy, which usually stops within a week. Hysteroscopic surgery may cause heavy bleeding due to excessive cutting, poor uterine contraction or incomplete hemostasis during the operation. The bleeding can be stopped with an electrocoagulator or by applying pressure for 6 to 8 hours with a Foley catheter.

3. Infection

The infection rate is low. Knowing the indications and contraindications, using antibiotics appropriately before and after surgery, and strictly disinfecting instruments can avoid the occurrence of infection.

From the above we have learned about the dangers of having a miracle. First of all, it is very bad for the uterus. And for many friends, they often experience abdominal pain and general fatigue, so they should pay more attention. Let’s take a look at the dangers together.