Vasovagal reactions during Bettocchi office hysteroscopy: etiology, pathogenesis, diagnosis, and treatment
Vasovagal reaction (VVR) is one of the complications of office hysteroscopy (OH). The frequency of VVR has decreased from 20% to less than 1% over the last 20 years. When this complication develops during OH, surgery is stopped or discontinued. There may be a fall and injury when VVR occur prior to and following surgery. The prevention of this complication is to carefully examine the patient’s history of previous VVR episodes and to use office hysteroscopes and a noncontact procedure for Bettocchi office hysteroscopy. The occurrence of VVR in OH is nonfatal, but can lead to negative health consequences. Knowledge of the clinical presentations of VVR allows for the prevention of this complication and, if the latter occurs, contributes to the provision of medical care.Klyucharov I.V., Morozov V.V., Khasanov A.A., Yakhin K.K., Shulaev A.V., Klyucharova A.R., Paunich A.A.
Keywords
vasovagal reaction
office hysteroscopy
complications
References
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Received 30.01.2018
Accepted 02.03.2018
About the Authors
Klyucharov, Igor V., MD, associate professor of the Department of Obstetrics and Gynecology No. 1, Kazan State Medical University, Ministry of Health of Russia; doctor obstetrician-gynecologist of the Republican clinical hospital. 420012, Russia, Kazan, Butlerova str. 49. Tel.: +79172824474. E-mail: klyucharoff@yandex.ru.orcid.org/0000-0002-2895-3722
Morozov, Vadim V., associate professor of obstetrics, gynecology, department of minimally invasive gynecology, Georgetown University, Washington, USA. 105 Irving Street NW, Suite 405 South, Washington DC 20010. Tel.: +1-202-877-6526. E-mail: vadim.morozov@medstar.net
Khasanov, Albir A., Doctor of Medical Science, Professor, Head. Department of Obstetrics and Gynecology No. 1, Kazan State Medical University, Ministry of Health of Russia; doctor obstetrician-gynecologist of the Republican clinical hospital. 420012, Russia, Kazan, Butlerova str. 49. E-mail: albirkhasanov@mail.ru
Klyucharova, Aliya R., Ph.D., assistant of the Department of Allergy and Immunology, Kazan State Medical University, Ministry of Health of Russia. 420012, Russia, Kazan, Butlerova str. 49. Tel.: +79172824414. E-mail: aliluia@yandex.ru
Yakhin, Kausar K., MD, Professor, Head of the Department. Department of Psychiatry with a course of narcology, Kazan State Medical University, Ministry of Health of Russia. 420012, Russia, Kazan, Butlerova str. 49. E-mail: yakhin@bk.ru
Shulaev, Alexey V., MD, Professor, Vice-Rector for Clinical Work, Kazan State Medical University, Ministry of Health of Russia. 420012, Russia, Kazan, Butlerova str. 49. E-mail: shulaev8@gmail.com
Paunich, Alina A., Master of Science in Health Management System, Analyst of Audit and Quality Control Department, Mercy Medical Center, Baltimore, Maryland, USA. 301 St. Paul Place, Baltimore, MD 21202. Tel.: 410-332-9000, ext. 4196. E-mail: apaunic@mdmercy.com, alinapaunic@gmail.com
For citations: Klyucharov I.V., Morozov V.V., Khasanov A.A., Yakhin K.K., Shulaev A.V., Klyucharova A.R., Paunich A.A. Vasovagal reactions during Bettocchi office hysteroscopy: etiology, pathogenesis, diagnosis, and treatment. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (9): 138-44. (in Russian)
https://dx.doi.org/10.18565/aig.2018.9.138-144
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