alexa Long-term complications of office hysteroscopy: analysis of 1028 cases.


Journal of Addiction Research & Therapy

Author(s): van Kerkvoorde TC, Veersema S, Timmermans A

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Abstract STUDY OBJECTIVE: To estimate the long-term complication rate of office hysteroscopy with the vaginoscopic approach. DESIGN: Retrospective cohort study (Canadian Task Force classification II-A). SETTING: University-affiliated teaching hospital with outpatient hysteroscopy facilities. PATIENTS: Between January 2005 and October 2007, all consecutive patients undergoing office hysteroscopy with the vaginoscopic approach were analyzed, 1028 procedures in total. INTERVENTIONS: Therapeutic or diagnostic office hysteroscopy with the vaginoscopic approach. The complication registration of the gynecology department and a random sample of one third of the medical records were analyzed for long-term complications. MEASUREMENTS AND MAIN RESULTS: Of the 1028 hysteroscopic procedures, 622 (60\%) were diagnostic, 328 (32\%) were therapeutic hysteroscopic procedures, and 78 (8\%) procedures failed. In the complication registration and in the medical charts, 1 significant complication could be identified. CONCLUSIONS: Office hysteroscopy with the vaginoscopic approach is a safe procedure. This study showed an extremely low risk of long-term complications. Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved. This article was published in J Minim Invasive Gynecol and referenced in Journal of Addiction Research & Therapy

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