Complications of Hysteroscopy

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.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.

• 1. Anesthesia and patient position2. Hysteroscopic anatomydapplied to avoid mishaps3. Hormonal endometrial preparation of the endometrium before hysteroscopic procedures4. Role of imaging in preventing and managing hysteroscopic complications5. Bleeding/hemorrhage6. Uterine perforation: Prevention, identification, and management7. Isthmocele perforation during management8. Fluid overload and intravascular absorption syndrome9. Cervical laceration and false passage10. Electrosurgical complications: Unipolar and bipolar energies11. Air embolism12. Complications caused by incorrect use of hysteroscopic tissue removal system13. The other victims14. Problems related to Essure devices15. Delayed complications of hysteroscopies16. When hysteroscopy resolves the complications17. Tips and tricks for avoiding complications during diagnostic and/or surgical hysteroscopy18. Infective complications: Risk, diagnosis, and treatment19. Medicolegal aspects20. Interesting cases registry