The role of antibiotic therapy and hysteroscopy technique in the prevention of infectious and inflammatory complications

Cover Page

Abstract


Inflammatory complications are relatively frequent in the hierarchy of complications of hysteroscopy. The article describes two clinical case scenarios of hysteroscopic procedures complicated by pelvioperitonitis. The analysis of contemporary local and international literature is presented, and shows different attitude towards the antibiotic prophylaxis of inflammatory complications related to hysteroscopy. Taking into account that potential spread of infected material from the uterine cavity through the tubes into Douglas space plays role in the pathogenesis of inflammatory complications, it is advisable to consider the value of intra-uterine pressure as one of the main factors responsible for the development of inflammatory complications. It is also prudent to use the technique and values of in-office hysteroscopy to prevent tubal reflux and thus reduce the chance of infectious complications. The possibility of complete abandonment of antibiotic prophylaxis requires additional research and confirmation with clinical studies.


About the authors

I V Klyucharov

Kazan State Medical University

Author for correspondence.
Email: igormedexpert@gmail.com
Kazan, Russia

V V Morozov

Maryland School of Medicine

Email: igormedexpert@gmail.com
Baltimore, USA

A A Khasanov

Kazan State Medical University

Email: igormedexpert@gmail.com
Kazan, Russia

E A Ampilova

Kazan State Medical University

Email: igormedexpert@gmail.com
Kazan, Russia

K F Yusupov

Kazan State Medical Academy; Interregional clinical diagnostic center

Email: igormedexpert@gmail.com
Kazan, Russia; Kazan, Russia

References

  1. Луговая А.В. Гистероскопия в условиях бактериального вагиноза. Врач. 2010; 1: 58-60.
  2. Давыдов А.И., Стрижаков А.Н., Новрузова Н.Х. Осложнения оперативной гистероскопии: профилактика и лечение. Вопр. гинекол., акушерства и перинатол. 2016; 15 (6): 52-60. doi: 10.20953/1726-1678-2016-6-52-60.
  3. Савельева Г.М., Бреусенко В.Г., Каппушева Л.М. Осложнения гистероскопии, их лечение и профилактика. В кн.: Гистероскопия: атлас и руководство. М.: ГЭОТАР-Медиа. 2013; 217-230.
  4. Shveiky D., Rojansky N., Revel A. et al. Complications of hysteroscopic surgery: «Beyond the learning curve». J. Minim. Invasive Gynecol. 2007; 14 (2): 218-222. doi: 10.1016/j.jmig.2006.07.019.
  5. Багдасарян А.Р., Саркисов С.Э. Осложнения диагностической и оперативной гистероскопии. Акушерство и гинекол. 2014; (1): 36-40.
  6. Agostini A., Cravello L., Shojai R. et al. Postoperative infection and surgical hysteroscopy. Fertil. Steril. 2002; 77 (4): 766-768. doi: 10.1016/S0015-0282(01)03252-6.
  7. Van Kerkvoorde T.C., Veersema S., Timmermans A. Long-term complications of office hysteroscopy: Analysis of 1028 cases. J. Minim. Invasive Gynecol. 2012; 19 (4): 494-497. doi: 10.1016/j.jmig.2012.03.003.
  8. Малачинская М.И. Офисная гистероскопия - вопрос профилактики воспалительных осложнений. Здоровье женщины. 2015; (3): 60.
  9. Селихова М.С., Вдовин С.В., Михайловская М.В. Оптимизация антибиотикопрофилактики при малых гинекологических операциях. Антибиотики и химиотерап. 2015; 60 (11-12): 39-42.
  10. Bettocchi S., Nappi L., Ceci O., Selvaggi L. What does diagnostic hysteroscopy: mean today? The role of the new techniques. Curr. Opin. Obstet. Gynecol. 2003; 15: 303-308. doi: 10.1097/01.gco.0000084241.09900.c8.
  11. Mencaglia L., Cavalcanti L., Alvarez R. Technique of diagnostic hysteroscopy or office hysteroscopy. In: Manual of hysteroscopy. Endo: Press Tuttlingen. 2011; 22-26.
  12. Zhu H.L., Liang X.D., Wang J.L. et al. Hysteroscopy and directed biopsy in the diagnosis of endometrial carcinoma. Chinese Med. J. 2010; 123 (24): 3524-3528. PMID: 22166624.
  13. Ключаров И.В., Прохоров Е.И., Борисов С.Л. и др. Предустановленное и реальное давление в полости матки. Точность наших гистеропомп. Практ. мед. 2015; (4-1): 79-82.
  14. Ключаров И.В., Хасанов А.А., Галимова И.Р., Фахрутдинов Р.Н. Новая система управления жидкостью при гистероскопических операциях. Практ. мед. 2016; 2 (4 (96)): 56-59.

Statistics

Views

Abstract - 290

PDF (Russian) - 127

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions


© 2017 Klyucharov I.V., Morozov V.V., Khasanov A.A., Ampilova E.A., Yusupov K.F.

Creative Commons License

This work is licensed
under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.





This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies