{"paper_id":"26539fce-7d9e-4247-a07a-adabe1dbb597","body_text":"- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology\n- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology\n- Copyright page\n- Dedication\n- Contents\n- Videos\n- Contributors\n- Preface\n- Section 1 Basic Sciences in Gynaecology\n- Section 2 Menstrual Disorders\n- Section 3 Reproductive Endocrinology and Infertility\n- Section 4 Contraception and STIs\n- Section 5 Post-Reproductive Care\n- Section 6 Vulva and Vagina\n- Section 7 Cervix\n- Section 8 Uterus\n- Section 9 Ovary and Fallopian Tubes\n- Section 10 Operative Gynaecology\n- Chapter 43 Basic Hysteroscopy\n- Chapter 44 Advanced Hysteroscopy\n- Chapter 45 Basic Laparoscopic Gynaecological Procedures\n- Chapter 46 Advanced Laparoscopic Gynaecological Procedures\n- Chapter 47 Robotic Gynaecological Surgery\n- Chapter 48 Myomectomy\n- Chapter 49 Hysterectomy for Benign Conditions\n- Chapter 50 Reversal of Sterilization in Females and Males to Restore Fertility\n- Section 11 Public Health Issues in Gynaecology\n- Section 12 Miscellaneous\n- Index\n- Plate Section (PDF Only)\n- References\nfrom Section 10 - Operative Gynaecology\nPublished online by Cambridge University Press: 24 November 2021\nBook contents\n- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology\n- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology\n- Copyright page\n- Dedication\n- Contents\n- Videos\n- Contributors\n- Preface\n- Section 1 Basic Sciences in Gynaecology\n- Section 2 Menstrual Disorders\n- Section 3 Reproductive Endocrinology and Infertility\n- Section 4 Contraception and STIs\n- Section 5 Post-Reproductive Care\n- Section 6 Vulva and Vagina\n- Section 7 Cervix\n- Section 8 Uterus\n- Section 9 Ovary and Fallopian Tubes\n- Section 10 Operative Gynaecology\n- Chapter 43 Basic Hysteroscopy\n- Chapter 44 Advanced Hysteroscopy\n- Chapter 45 Basic Laparoscopic Gynaecological Procedures\n- Chapter 46 Advanced Laparoscopic Gynaecological Procedures\n- Chapter 47 Robotic Gynaecological Surgery\n- Chapter 48 Myomectomy\n- Chapter 49 Hysterectomy for Benign Conditions\n- Chapter 50 Reversal of Sterilization in Females and Males to Restore Fertility\n- Section 11 Public Health Issues in Gynaecology\n- Section 12 Miscellaneous\n- Index\n- Plate Section (PDF Only)\n- References\nThe improvements in techniques, endoscopic instrumentation and surgical experience have completely changed the approach to uterine intracavitary pathologies, allowing the physician to achieve more reliable diagnostic and therapeutic results. The advent of these new technologies allows us today to improve advanced hysteroscopic surgery by increasing the efficacy of an operating room environment but avoiding the need for the inpatient setting for most of the procedures. It is possible to treat severe cervical stenosis or intrauterine synechiae, including Asherman’s syndrome, G2 myomas, congenital uterine malformations, adenomyosis and chronically retained products of conception in an ambulatory setting. The future looks to further the simplification of instrumentation, and establish a safer and easier delivery of energy sources.\nThis chapter provides a description of advanced hysteroscopic procedures and their benefits in modern gynaecological practice.\n- Type\n- Chapter\n- Information\n- The EBCOG Postgraduate Textbook of Obstetrics & GynaecologyGynaecology, pp. 385 - 396Publisher: Cambridge University PressPrint publication year: 2021\nCampo, R, Meier, R, Dhont, N, Mestdagh, G, Ombelet, W. Implementation of hysteroscopy in an infertility clinic: the one-stop uterine diagnosis and treatment. Facts Views Vis Obgyn 2014;6:235–239.Google Scholar\nPerez-Medina, T, Lopez-Mora, P, Rojo, J. Comparison of the hysteroscopy-biopsy with the D & C in the diagnosis of abnormal uterine bleeding. Progresos de Obstetricia y Ginecologia 1994;37:479–486.Google Scholar\nJanssens, JP, Rotenberg, L, Sentis, M, Motmans, K, Schulz-Wendtland, R. Caution with microbiopsies of the breast: displaced cancer cells and ballistics. Eur J Cancer Prev 2006;15;471–473.CrossRefGoogle ScholarPubMed\nBettocchi, S, Bramante, S, Bifulco, G, et al. Challenging the cervix: strategies to overcome the anatomic impediments to hysteroscopy: analysis of 31,052 office hysteroscopies. Fertil Steril 2016;105: e16–e17.CrossRefGoogle Scholar\nCampo, R, Molinas, CR, Rombauts, L, et al. Prospective multicentre randomized controlled trial to evaluate factors influencing the success rate of office diagnostic hysteroscopy. Hum Reprod 2005;20:258–263.CrossRefGoogle ScholarPubMed\nGuida, M, Di Spiezio Sardo, A, Sparice, S, et al. Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study. Hum Reprod 2006;21:3253–32 7.CrossRefGoogle ScholarPubMed\nAAGL. AAGL Practice Report: Practice Guidelines for Management Of Intrauterine Synechiae. J Minim Invasive Gynecol 2010;17:1–7.Google Scholar\nCampo, R, Van Belle, Y, Rombauts, L, Brosens, I, Gordts, S. Office minihysteroscopy. Hum Reprod Update 1999;5:73–81.Google Scholar\nRoy, KK, Lingampally, A, Kansal, Y, et al. Pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini-resectoscope. Oman Med J 2017;32:492–498.CrossRefGoogle ScholarPubMed\nDi Spiezio Sardo, A, Calagna, G, Scognamiglio, M, et al. Prevention of intrauterine post-surgical adhesions in hysteroscopy: a systematic review. Eur J Obstet Gynecol Reprod Biol 2016;203:182–192.Google Scholar\nDi Spiezio Sardo, A, Spinelli, M, Bramante, S, et al. Efficacy of a polyethylene oxide-sodium carboxymethylcellulose gel in prevention of intrauterine adhesions after hysteroscopic surgery. J Minim Invasive Gynecol 2011;18:462–469.CrossRefGoogle ScholarPubMed\nBettocchi, S, Ceci, O, Di Venere, R, et al. Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr, bipolar electrode. Hum Reprod 2002;17:2435–2438.Google Scholar\nPapalampros, P, Gambadauro, P, Papadopoulos, N, et al. The mini-resectoscope: a new instrument for office hysteroscopic surgery. Acta Obstet Gynecol Scand 2009;88:227–230.CrossRefGoogle ScholarPubMed\nNoventa, M, Ancona, E, Quaranta, M, et al. Intrauterine morcellator devices: the icon of hysteroscopic future or merely a marketing image? A systematic review regarding safety, efficacy, advantages, and contraindications. Reprod Sci 2015;22:1289–1296.CrossRefGoogle ScholarPubMed\nDi Spiezio Sardo, A, Mazzon, I, Bramante, S, et al. Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update 2008;14:101–109.Google Scholar\nEmanuel, MH, Wamsteker, K. The intrauterine morcellator: a new hysteroscopic operating technique to remove intrauterine polyps and fibroid. J Minim Invasive Gynecol 2005;12:62–83.CrossRefGoogle Scholar\nBettocchi, S, Di Spiezio, A, Ceci, O, et al. A new hysteroscopic technique for the preparation of partially intramural myomas in office setting (OPPIuM technique): a pilot study. J Minim Invasive Gynecol 2009;16:748–754.CrossRefGoogle ScholarPubMed\nMazzon, I. Nuova tecnica per la miomectomia isteroscopia: enucleazione con ansa fredda. In: Testo-Atlante di Chirurgia Endoscopica Ginecologica. Palermo: COFESE, 1995.Google Scholar\nLitta, P, Vasile, C, Merlin, F, et al. A new technique of hysteroscopic myomectomy with enucleation in toto. J Am Assoc Gynecol Laparosc 2003;10:263–270.CrossRefGoogle ScholarPubMed\nHamou, J. Electroresection of fibroids. In: Endoscopic Surgery for Gynecologists. London: W.B. Saunders, 1993, pp. 327–330.Google Scholar\nBigatti, G, Ferrario, C, Rosales, M, Baglioni, A, Bianchi, S. A 4-cm G2 cervical submucosal myoma removed with the IBS® Integrated Bigatti Shaver. Gynecol Surg 2012;9:453–456.CrossRefGoogle ScholarPubMed\nGordts, S, Grimbizis, G, Campo, R. Symptoms and classifications of uterine adenomyosis, including the place of hysteroscopy in diagnosis. Fertil Steril 2018;109:380–388.Google Scholar\nMolinas, CR, Campo, R. Office hysteroscopy and adenomyosis. Best Pract Res Clin Obstet Gynaecol 2006;20:557–567.CrossRefGoogle ScholarPubMed\nDi Spiezio Sardo, A, Calagna, G, Santangelo, F, et al. The role of hysteroscopy in the diagnosis and treatment of adenomyosis. Bio Med Res Int 2017;2017: 2518396.Google ScholarPubMed\nGrimbizis, GF, Gordts, S, Di Spiezio Sardo, A, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod 2013;28:2032–2044.CrossRefGoogle ScholarPubMed\nMeier, R, Campo, R. T-shaped uterus in Female Genital Tract Congenital Malformations: Classification, Diagnosis, and Management. London: Springer, 2015.Google Scholar\nDi Spiezio Sardo, A, Florio, P, Nazzaro, G, et al. Hysteroscopic outpatient metroplasty to expand dysmorphic uteri (HoMe- DU technique): a pilot study. Reprod Biomed Online 2015;30:166–174.Google Scholar\nHomer, HA, Li, TC, Cooke, ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril 2000;73:1–14.CrossRefGoogle ScholarPubMed\nDi Spiezio Sardo, A, Zizolfi, B, Bettocchi, S, et al. Accuracy of hysteroscopic metroplasty with the combination of presurgical 3-dimensional ultrasonography and a novel graduated intrauterine palpator: a randomized controlled trial. J Minim Invasive Gynecol 2016;23:557–566.CrossRefGoogle Scholar\nMcGurgan, P, O’Donovan, P. Second-generation endometrial ablation: an overview. Best Pract Res Clin Obstet Gynaecol 2007;21:931–945.CrossRefGoogle ScholarPubMed\nAngioni, S, Pontis, A, Nappi, L, et al. Endometrial ablation: first vs second generation techniques. Minerva Gynecol 2016;68:143–153.Google ScholarPubMed\nCapmas, P, Lobersztajn, A, Duminil, L, et al. Operative hysteroscopy for retained products of conception: efficacy and subsequent fertility. J Gynecol Obstet Hum Reprod 2019;48:151–154.CrossRefGoogle ScholarPubMed\nGoldenberg, M, Schiff, E, Achiron, R, et al. Managing residual trophoblastic tissue: hysteroscopy for directing curettage. J Reprod Med 1997;42:26–28.Google ScholarPubMed\nAccessibility compliance for the HTML of this chapter is currently unknown\nand may be updated in the future.\n- 1\n- Cited by\nTo save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. 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