T C van Kerkvoorde1, S Veersema, A Timmermans. 1. Department of Obstetrics and Gynecology, St. Antonius Hospital, Nieuwegein, The Netherlands. tcvankerkvoorde@hotmail.com
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.
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.
Authors: Salvatore Giovanni Vitale; Salvatore Caruso; Michal Ciebiera; Péter Török; Jan Tesarik; George Angelos Vilos; Aarathi Cholkeri-Singh; Ferdinando Antonio Gulino; Mohan Shashikant Kamath; Antonio Cianci Journal: Arch Gynecol Obstet Date: 2020-03-05 Impact factor: 2.344