The Journal of the American Association of Gynecologic Laparoscopists
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The world literature, including hospital and medicolegal case records, was reviewed to collate cases of venous air embolism resulting from the increasing number of operative hysteroscopies being performed. Seven women undergoing operative hysteroscopy for five different indications had clear-cut evidence of venous air embolism early in the course of the procedure. ⋯ This complication is rare but devastating, resulting from traumatic opening into large uterine sinuses, especially with the patient in the Trendelenburg position, when the heart is below the level of the uterus. Several steps can be taken to try to prevent this problem.
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J Am Assoc Gynecol Laparosc · May 1997
Comparative StudyTransvaginal sonographic and hysteroscopic findings in postmenopausal women receiving tamoxifen.
To evaluate the effect of tamoxifen on the endometrium. ⋯ Women receiving tamoxifen, especially those who are asymptomatic, should be closely monitored by transvaginal sonography and hysteroscopy to detect endometrial pathologies.
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J Am Assoc Gynecol Laparosc · May 1997
Comparative StudyReproductive performance of women with uterine anomalies after abdominal or hysteroscopic metroplasty or no surgical treatment.
To evaluate reproductive performance in women with a confirmed uterine anomaly treated by abdominal or hysteroscopic metroplasty, or by no surgical procedure. ⋯ Hysteroscopic metroplasty has replaced abdominal metroplasty in the treatment of septate uterus. It improves the fetal survival rate in women with repeated miscarriage. It does not enhance pregnancy rates in infertile women with septate uterus, but as a minimally invasive uterine repair, it may be carried out before assisted reproduction. Pregnancy in the septate uterus can also progress without any surgical treatment. Metroplasty seems to prevent breech delivery and to decrease the cesarean section rate, which are potential benefits.
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J Am Assoc Gynecol Laparosc · May 1997
Monitoring fluid absorption using 1% ethanol-tagged glycine during operative hysteroscopy.
To assess the value of expired breath ethanol as a marker of irrigating fluid absorption during hysteroscopic surgery using 1% ethanol-tagged 1.5% glycine. ⋯ As it is not possible to distinguish direct and indirect fluid absorption during hysteroscopic surgery, measuring expired breath ethanol is insufficient to assess overall fluid balance, and continuous volumetric assessment is still required.