The role of antibiotic therapy and hysteroscopy technique in the prevention of infectious and inflammatory complications
- Authors: Klyucharov IV1, Morozov VV2, Khasanov AA1, Ampilova EA1, Yusupov KF3,4
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Affiliations:
- Kazan State Medical University
- Maryland School of Medicine
- Kazan State Medical Academy
- Interregional clinical diagnostic center
- Issue: Vol 98, No 5 (2017)
- Pages: 857-861
- Section: Clinical experiences
- Submitted: 02.10.2017
- Published: 15.10.2017
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/7049
- DOI: https://doi.org/10.17750/KMJ2017-857
- ID: 7049
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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
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