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Uterine perforation associated with minimally invasive gynecologic procedures
Uterine perforation associated with minimally invasive gynecologic procedures
Dilation and curettage, dilation and evacuation, and hysteroscopy are three minimally invasive gynecologic procedures that are performed to diagnose and treat various female pelvic health conditions. Studies show that these procedures have relatively low complication rates and can be performed safely in multiple clinical settings. The most frequent complication noted is puncture of the cervix or uterus related to cervical dilation or uterine entry techniques. The Pennsylvania Patient Safety Authority has received 376 reports related to complications associated with these gynecologic procedures. The predominant complication reported is perforation of an organ (77%), most frequently the uterus (96%). Risk reduction strategies employed to decrease the incidence of uterine perforation involve conducting a thorough preprocedure evaluation to identify any predisposing factors, preparing the cervix for the procedure, and using careful cervical/uterine entry techniques.
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