OPERATIVE HYSTEROSCOPY - AMERICAN-ASSOCIATION-OF-GYNECOLOGIC-LAPAROSCOPISTS 1991 MEMBERSHIP SURVEY

The 1991 American Association of Gynecologic Laparoscopists membership survey on operative hysteroscopy had a total of 630 respondents (almo st double the 1988 number) who reported performing 17,298 procedures a s compared to 7,293 in 1988. Directed biopsy and endometrial ablation were the procedures reported most commonly. Endometrial ablation incre ased fivefold since 1988, and myomectomy increased fourfold. The major ity of operative hysteroscopies were performed for a complaint of abno rmal bleeding (73%). The most frequently reported complication was ute rine perforation not requiring transfusion (11 per 1,000 procedures). The rate of water intoxication or pulmonary edema dropped from 3.411,0 00 in 1988 to 1.411,000 in 1991. However, some serious complications ( eight laparotomies for bowel injury, three CO2 embolisms and three dea ths) were reported for 1991.