Uterine Perforation Associated with Minimally Invasive Gynecologic Procedures
MedSun: Newsletter #39, August 2009
Pennsylvania Patient Safety Advisory
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 predominant complication reported is perforation of an organ, most frequently the uterus (96%). Risk reduction strategies employed to decrease the incidence of uterine perforation involve conducting a thorough pre-procedure evaluation to identify any predisposing factors, preparing the cervix for the procedure, and using careful cervical/uterine entry techniques.
Pennsylvania Patient Safety Advisory. Uterine Perforation Associated with Minimally Invasive Gynecologic Procedures. June 2009.