Vasovagal reactions during Bettocchi office hysteroscopy: etiology, pathogenesis, diagnosis, and treatment


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Abstract

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 20years. 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.

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About the authors

Igor V. Klyucharov

Kazan State Medical University, Ministry of Health of Russia

Email: klyucharoff@yandex.ru
MD, associate professor of the Department of Obstetrics and Gynecology No. 1; doctor obstetrician-gynecologist of the Republican clinical hospital.

Vadim V. Morozov

Georgetown University School of Medicine

Email: vadim.morozov@medstar.net
associate professor of obstetrics, gynecology, department of minimally invasive gynecology

Albir A. Khasanov

Kazan State Medical University, Ministry of Health of Russia

Email: albirkhasanov@mail.ru
Doctor of Medical Science, Professor, Head. Department of Obstetrics and Gynecology No. 1; doctor obstetrician-gynecologist of the Republican clinical hospital.

Kausar K. Yakhin

Kazan State Medical University, Ministry of Health of Russia

Email: yakhin@bk.ru
MD, Professor, Head of the Department. Department of Psychiatry with a course of narcology

Alexey V. Shulaev

Kazan State Medical University, Ministry of Health of Russia

Email: shulaev8@gmail.com
MD, Professor, Vice-Rector for Clinical Work

Aliya R. Klyucharova

Kazan State Medical University, Ministry of Health of Russia

Email: aliluia@yandex.ru
Ph.D., assistant of the Department of Allergy and Immunology

Alina A. Paunich

Mercy Medical Center

Email: apaunic@mdmercy.com. alinapaunic@gmail.com
Master of Science in Health Management System, Analyst of Audit and Quality Control Department

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