Complications associated with hysteroscopy

Complicaciones asociadas con la histeroscopia

Objective: to describe the most frequent complications in hysteroscopy, emphasizing the technique with monopolar energy, in comparison with bipolar energy. Methodology: A search was made in the databases ELSEVIER, EBSCO, NCBI, SCIENCEDIRECT, SciELO and PUBMED / MEDLINE, applying formatting MeSH terms “Hysteroscopy” and sub-headings such as “Complications”, “Monopolar energy” and “Bipolar energy”, selecting review articles and original research in English and in English published in the last 5 years. Results: The found findings establish that have a relationship between complications and the type of hysteroscopic intervention that is being carried out by indication, with pain being the most frequent complication associated with the ambulatory hysteroscopy and uterine perforation in surgical hysteroscopy. In contrast, hysteroscopy with monopolar energy reports an increased risk of hyponatremia compared to bipolar energy, and as the only complication. Conclusion: The complications depend on the type and hysteroscopy performed and its indication, hyponatremia being the only complication more prevalent associated with the monopolar energy technique, in relation to bipolar energy.

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