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• W4293566936 startingPage "365" @default.
• W4293566936 abstract "Complications are defined as clinical incidents that occur and cause the surgery to be suspended of further treatment during operation and which requires a long time of monitoring and further laparoscopic investigation or surgery. In 2000, Propst et al. reported that in 925 cases of hysteroscopic surgery, the occurrence rate of operative complications was 2.7%. These complications involved uterine perforation, fluid overload (≥1 L), hyponatremia, hemorrhage (≥500 mL), bowel or bladder injury, difficulty in dilating the cervix, prolonged hospitalizations, etc. TCRM and TCRS had the greatest probability of complications with fluid overload the most frequent complication. TCRP and TCRE had the lowest probability of complications. Hysteroscopic operative complications, although rare, are serious. There are four kinds of major complications: (1) Hyponatremic encephalopathy, or TURP syndrome, is one of the most serious complications. It has been reported that premenopausal women are 26 times more likely to suffer neurologic sequelae from hyponatremia than postmenopausal women or men. These women will experience permanent brain damage, paralysis, and even death. To prevent this complication, premenopausal women could be transited to postmenopausal state prior to operation by using GnRH agonists in sufficient dosage and for a sufficient length of time to induce menopause. Carter reported on one healthy young woman who suffered irreversible neurological consequences from hyponatremia during a hysteroscopic resection of a small submucous myoma. (2) Uterine perforation (either with or without bowel injury). (3) Hemorrhage. (4) Infection. In addition, there may be air embolism which may cause sudden death. Therefore, to perform hysteroscopic operation safely, the surgeon must be fully aware of various complications and the ways for early detection and preventive treatment." @default.
• W4293566936 created "2022-08-30" @default.
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• W4293566936 date "2022-01-01" @default.
• W4293566936 modified "2023-09-26" @default.
• W4293566936 title "Complications of Hysteroscopic Surgery" @default.
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