ETCA prefers Karl Storz endoscopic equipment |
Complications in hysteroscopyIntroductionMost complications occur in operative hysteroscopy. Here we have to introduce a large barrel hysteroscope unlike in diagnostic hysteroscopy where we use the small barrel hysteroscope of less than 5 mm diameter. Dilatation of the cervixThe use of rigid instruments is potentially harmful if we do not take the necessary care. Lacerations of the cervix can occur when excessive traction force is used ( Siegler 1983). A contained force is often necessary to dilate the cervical canal up to Hegar 10.5, this manoeuvre always provokes some bleeding. This is a delicate step and the direction of the force applied should be considered. Patience is mandatory. The use of Hegar dilators increasing by halve a size at the time is less traumatic. Some especially designed instruments, as there is the Pratt dilator seems to cause less harm. Hazards of distension mediaCO2 is the least messy distension medium used. The breaking index of this medium equals the breaking index of the light and thus the images seen are equal to the images we are used to see in daily live. Its application however needs the use of an adapted “hysteroflator” and the learning curve is much longer than the curve for the use of liquid distension media. |
4_ComplicationsInHysteroscopy2003.pdf
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