Vasovagal Syncope during Office Hysteroscopy—A Frequently Overlooked Unpleasant Complication
Suset Rodriguez,
Sergio Haimovich,
Salvatore Giovanni Vitale,
Luis Alonso,
Jose Carugno
Affiliations
Suset Rodriguez
Minimally Invasive Gynecology Unit, Obstetrics, Gynecology and Reproductive Sciences Department, Miller School of Medicine, University of Miami, Miami, FL 33136, USA
Sergio Haimovich
Hillel Yaffe Medical Center, Technion-Israel Technology Institute, Hadera 32000, Israel
Salvatore Giovanni Vitale
Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95121 Catania, Italy
Luis Alonso
Centro Gutenberg, Endoscopy Unit, 29012 Malaga, Spain
Jose Carugno
Minimally Invasive Gynecology Unit, Obstetrics, Gynecology and Reproductive Sciences Department, Miller School of Medicine, University of Miami, Miami, FL 33136, USA
Due to technological advancements in miniaturization of instruments and improved optics, the number of office hysteroscopic procedures has increased over time. Office hysteroscopy is preferred due to avoidance of general anesthesia and decreased overall cost. Vasovagal syncope has been implied as the most common complication. Vasovagal syncope is associated with inappropriate reflex vasodilation and bradycardia in the setting of an acute malfunction between the autonomic nervous system and the cardiovascular system; however, there is no mortality associated with vasovagal syncope. A management strategy for acute vasovagal reflex during office hysteroscopy is proposed in order to manage this common complication.
