Office and Operative Hysteroscopy

✍ Scribed by Professeur Bernard Blanc, Docteur René Marty, Docteur Rémy de Montgolfier (auth.)

• Publisher: Springer-Verlag Paris
• Year: 2002
• Tongue: English
• Leaves: 255
• Edition: 1
• Category: Library

✦ Synopsis

Hysteroscopy is now an essential part of contemporary gynecologic practice. This is true in both the office set­ ting as well as in the hospital operating room. Office hysteroscopy gives the practitioner the ability to obtain direct information of uterine pathology, with minimal discomfort, minimal risk and minimal cost to the pa­ tient. Furthermore, with modem small diameter instruments, hysteroscopy performed on an ambulatory basis provides immediate visual diagnosis in a true minimally invasive fashion. Similarly, operative hysteroscopy using newer endoscopes allows the surgeon to perform both simple and advanced uterine surgery with uterine preservation and fertility preservation. Evidence now clearly indicates that operative hysteroscopy gives ex­ cellent results, and is the minimally invasive surgical procedure of choice for the treatment of the septate uterus, intrauterine adhesions, endometrial polyps, intracavitary uterine fibroids and for the treatment of ab­ normal uterine bleeding by endometrial ablation. This volume of office and operative hysteroscopy written and assembled by Drs. B. Blanc and R. Marty is a comprehensive, practical text by experts in the field that covers all of the above aspects of diagnostic hysteroscopy and hysteroscopic surgery. The possibility of visualizing the interior of the uterus has interested physicians and intrigued gynecologists for over a century.

✦ Table of Contents

Front Matter....Pages I-IX
History of hysteroscopy....Pages 1-2
Hierarchy of explorations....Pages 3-6
Anaesthesia in ambulatory hysteroscopy....Pages 7-9
Diagnostic hysteroscopy....Pages 11-20
Office fibrohysteroscopy....Pages 21-38
Decontamination, disinfection and sterilization of the hysteroscopes....Pages 39-45
Distending media for diagnostic and operative hysteroscopy....Pages 47-54
Endometrial cytology and biopsy during fibrohysteroscopy....Pages 55-77
Uterine evaluation by hysteroscopy in patients undergoing in vitro fertilization....Pages 79-80
Flexible or rigid hysteroscopes?....Pages 81-82
Hysteroscopy and hormonal treatment....Pages 83-85
Surgical hysteroscopy: equipment and technique....Pages 87-91
Irrigation fluid pumps in operative hysteroscopy....Pages 93-97
Various features of each diagnostic and operative fibrohysteroscope....Pages 99-122
Principles of high frequency surgery....Pages 123-125
Office minor operative procedures with the fibrohysteroscope....Pages 127-139
Hysteroscopy and IUD....Pages 141-151
Office and operative hysteroscopy on one day basis....Pages 153-155
Endouterine resection: surgical procedure....Pages 157-159
Hysteroscopic metroplasty....Pages 161-171
Endometrium polyps....Pages 173-175
Adenomyosis....Pages 177-181
Abnormal benign endometrial proliferative states....Pages 183-187
Endometrectomy....Pages 189-196
Endometrial ablation: a review....Pages 197-202
Endometrial ablation in an office setting....Pages 203-208
Thermoablation of the endometrium....Pages 209-212
Uterine fibroids....Pages 213-220
Intrauterine synechiae....Pages 221-228
Intrauterine adhesions (Asherman’s syndrome)....Pages 229-242
Falloposcopy in an office setting....Pages 243-247
Traumatic complications....Pages 249-253
Infectious complications....Pages 255-255
Hemorrhagic complications....Pages 257-258
Complications linked to gaseous distension media....Pages 259-259
Complications linked to use of glycine in hysteroscopic surgery....Pages 261-265

✦ Subjects

Gynecology; Imaging / Radiology