Complications of Hysteroscopy
Diagnosis and Management
- 1st Edition - November 19, 2023
- Editors: Rahul Manchanda, Antonio Simone Laganà
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 2 1 6 1 6 - 9
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 1 6 1 7 - 6
Complications of Hysteroscopy: Diagnosis and Management is a step-by-step reference to explain various problems that can be encountered during a hysteroscopy procedure. It is a c… Read more
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Request a sales quote- Includes evidence-based information summarized by worldwide recognized experts on each topic
- Offers tips and tricks when dealing with complications such as bleeding and hemorrhaging
- Discusses electrosurgical complications, both unipolar and bipolar energies
- Documents and presents a registry of actual cases collected from all over the world and discusses their management
- Provides the medicolegal aspects, along with the rehabilitation of the medical professional
- Cover image
- Title page
- Table of Contents
- Copyright
- List of contributors
- Foreword by Ricardo Bassil Lasmar
- Foreword by Linda D. Bradley
- Preface
- Acknowledgments
- Chapter 1. Anesthesia and patient position
- Introduction
- Conclusion
- Chapter 2. Hysteroscopic anatomy—applied to avoid mishaps
- Why is it important to have anatomical landmarks?
- Anatomical landmarks in hysterosocpy
- External genitalia
- Vagina
- Cervix
- Uterine isthmus
- Uterine corpus and fundus
- Practical implications: avoiding mishaps
- Conclusion
- Chapter 3. Get a clear view before starting: Endometrial preparation with hormones
- Introduction
- Endometrial preparation with hormones: which molecules are currently available?
- Hormonal endometrial preparation in the hysteroscopic management of the main intrauterine pathologies
- Conclusions
- Chapter 4. Role of imaging in preventing and managing hysteroscopic complications
- Introduction
- Imaging in preoperative patient evaluation
- Intraoperative ultrasound
- Imaging in the diagnosis and management of hysteroscopic complications
- Conclusion
- Chapter 5. Bleeding/hemorrhage
- Introduction
- Management
- Prevention
- Specific situations
- Conclusion
- Chapter 6. Uterine perforation: Prevention, identification, and management
- Introduction
- Incidence
- Risk factors
- Prevention of uterine perforation during hysteroscopic surgery
- Identification and management of uterine perforation
- Learning points
- Chapter 7. Isthmocele perforation during management
- Introduction
- Management
- Hysteroscopic repair
- The risk of uterine perforation during hysteroscopic isthmoplasty
- Conclusion
- Chapter 8. Fluid overload and intravascular absorption syndrome
- Introduction
- Methods
- Results
- Preoperative measures
- Operative phase
- Postoperative phase
- Conclusions
- Chapter 9. Cervical laceration and false passage
- Introduction
- Cervical laceration
- Risk factors
- Prevention
- Treatment
- False passage
- Incidence
- Risk factors
- Diagnosis
- Management of false passage
- Prevention
- Conclusion
- Chapter 10. Electrosurgical complications: Unipolar and bipolar energies
- Basic principles of electrosurgery
- Monopolar and bipolar energies
- Complications in electrosurgery
- Avoiding electrosurgical complication in hysteroscopy
- Chapter 11. Air embolism
- Introduction
- Review of literature
- Pathophysiology of air embolism
- Clinical presentation and diagnosis
- Prevention
- Management
- Conclusion
- Main points
- Chapter 12. Complications caused by incorrect use of hysteroscopic tissue removal system
- Introduction
- Chapter 13. The other victims
- Case: A surgeon's recount of a patient's loss
- Introduction
- Medical error
- Risk factors
- Personal resilience and emotional response
- Stages of healing
- Organizational and peer support programs
- Conclusion
- Chapter 14. Problems related to Essure devices
- Introduction
- Essure
- Conclusions
- Chapter 15. Delayed complications of hysteroscopies
- Introduction
- Uterine perforation
- False passage or via falsa
- Bleeding
- Tardive hematometra
- Fluid overload—OHIA syndrome
- Asherman's syndrome
- Uterine rupture after operative hysteroscopy
- Infections
- Chapter 16. When hysteroscopy resolves the complications
- Intrauterine foreign bodies
- Intrauterine adhesions. Asherman’s syndrome
- Retained products of conception
- Isthmocele
- Conclusion
- Cervical stenosis
- Chapter 17. Tips and tricks for avoiding complications during diagnostic and/or surgical hysteroscopy
- Patient selection and preparation
- Equipment and instrumentation
- Presurgical
- Chapter 18. Infective complications: Risk, diagnosis, and treatment
- Introduction
- Etiological mechanisms for infectious complication at hysteroscopy
- Risk of infectious complications at hysteroscopy
- Antibiotic prophylaxis
- Chapter 19. Medicolegal aspects
- Introduction
- History and evolution of medical law
- Fresh legal approaches indicating a shift away from the Bolam principle
- Emergence of consumer protection rights
- Negligence as a crime
- Concept of compensation vis-a-vis medical negligence
- Vicarious liability
- Avoiding legal pitfalls
- Hysteroscopy and the possible legal complications
- Liability in litigation
- Chapter 20. Interesting cases registry
- Introduction
- Case 1. Uterine perforation by Hegar
- Case 2. False passage in the uterine cervix with hysteroscope
- Case 3. False passage and uterine perforation with 5 Fr grasper
- Case 4. False passage with uterine perforation with the tip of hysteroscope during Asherman syndrome adhesiolysis
- Case 5. Cold loop broken during myomectomy
- Case 6. Uterine perforation after hysteroscopic attempt of IUD removal
- Case 7. Fallopian tube incarcerated after “blind” IUD removal
- Case 8. Operative hysteroscopy intravascular absorption syndrome during bipolar myomectomy
- Case 9. Uterine and rectum perforation with 5 Fr scissors
- Case 10. Air embolism during operative hysteroscopy for Asherman's syndrome
- Index
- No. of pages: 358
- Language: English
- Edition: 1
- Published: November 19, 2023
- Imprint: Elsevier
- Paperback ISBN: 9780443216169
- eBook ISBN: 9780443216176
RM
Rahul Manchanda
Dr. Rahul Manchanda MD, FACS, FICS, has been practicing as a Gynecological Endoscopic Surgeon for over 20 years and is running a training center accredited by the three highest bodies in India, (Indian college of Obstetrics and Gynaecology, Indian Association of Gynaecological Endoscopists, and the Federation of Obstetricians and Gynaecologists of India) for training postgraduates in gynecological endoscopy. Dr. Manchanda is on the scientific board and committee of the Hysteroscopy Newsletter and the scientific committee of Global Congress of Hysteroscopy since 2019. He is a member of the Special Interest Group of Hysteroscopy of the AAGL. He is Faculty Master in Minimally Invasive Surgery, Bologna University, Italy. He organized as Chair of the first ever Regional and Asia Pacific Global Congress of Hysteroscopy Congress, The International Hysteroscopy Congress in New Delhi, India in 2018. This was hugely successful with endorsement from AAGL, ISGE, APAGE, Chinese doctors association, and many world bodies and 800 delegates attending from almost 35 countries. He has been teaching hysteroscopy courses for the last 20 years and has written 3 books on hysteroscopy and has around 140 publications in peer-reviewed journals.
AL
Antonio Simone Laganà
Antonino Simone Laganà, MD, PhD, is an Assistant Professor (Researcher type B) in Obstetrics and Gynecology at the Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo (Palermo, Italy). He is the Coordinator of the Special Interest Group for Endometriosis and Endometrial Disorders (SIGEED) of the European Society of Human Reproduction and Embryology (ESHRE). He was trained in obstetric/gynecological ultrasound at the Altamedica Main Centre in Rome (Italy), he did his master’s in “Gynecological Minimally Invasive and Robotic Surgery” at the University of Pisa (Italy), PhD in “Medical and Surgical Biotechnologies” at the University of Messina (Italy), and developed an intensive training in minimally invasive gynecological surgery (high-volume advanced laparoscopy, hysteroscopy) at the Univerzitetni Klinični Center Ljubljana (Slovenia), during the Subspecialist Training Programme (Fellowship) in Reproductive Medicine (according to the criteria of the European Society of Human Reproduction, ESHRE, and Embryology and European Board and College of Gynecology and Obstetrics, EBCOG). His research interests include endometriosis, reproductive immunology, infertility, gynecological endocrinology, laparoscopy, and hysteroscopy. He is the author of more than 440 papers published in PubMed-indexed international peer-reviewed journals, and his presence is often requested as an invited speaker at international congresses. He is currently an editor of high-impact journals, including Scientific Reports, the Journal of Minimally Invasive Gynecology, Journal of Ovarian Research, Gynecologic and Obstetric Investigation, and many others. He is habilitated as Full Professor in Italy for Gynecology and Obstetrics.