Advanced Hysteroscopy

In: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology · 2021 · pp. 385–396 · doi:10.1017/9781108582322.046 · W4200571716
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Advanced hysteroscopy, enabled by new technologies and surgical expertise, allows for reliable diagnosis and treatment of various uterine pathologies in an outpatient setting.

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This chapter from The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology describes advanced hysteroscopic procedures and the benefits of modern endoscopic instrumentation for uterine intracavitary pathologies, emphasizing more reliable diagnostic and therapeutic results. It discusses how improvements have enabled many procedures, including treatment of cervical stenosis, intrauterine synechiae/Asherman’s syndrome, G2 myomas, congenital uterine malformations, adenomyosis, and chronically retained products of conception, to be performed in an ambulatory setting. A stated limitation is that the chapter is a descriptive educational overview rather than a report of new primary study data, and it does not provide performance statistics for the described indications. Relevance to endometriosis and/or adenomyosis: adenomyosis is explicitly listed among the uterine intracavitary pathologies that advanced hysteroscopy can treat, though the chapter’s main focus is advanced hysteroscopic procedures rather than endometriosis or adenomyosis-specific outcomes.

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Abstract

The 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.
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- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Copyright page - Dedication - Contents - Videos - Contributors - Preface - Section 1 Basic Sciences in Gynaecology - Section 2 Menstrual Disorders - Section 3 Reproductive Endocrinology and Infertility - Section 4 Contraception and STIs - Section 5 Post-Reproductive Care - Section 6 Vulva and Vagina - Section 7 Cervix - Section 8 Uterus - Section 9 Ovary and Fallopian Tubes - Section 10 Operative Gynaecology - Chapter 43 Basic Hysteroscopy - Chapter 44 Advanced Hysteroscopy - Chapter 45 Basic Laparoscopic Gynaecological Procedures - Chapter 46 Advanced Laparoscopic Gynaecological Procedures - Chapter 47 Robotic Gynaecological Surgery - Chapter 48 Myomectomy - Chapter 49 Hysterectomy for Benign Conditions - Chapter 50 Reversal of Sterilization in Females and Males to Restore Fertility - Section 11 Public Health Issues in Gynaecology - Section 12 Miscellaneous - Index - Plate Section (PDF Only) - References from Section 10 - Operative Gynaecology Published online by Cambridge University Press: 24 November 2021 Book contents - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Copyright page - Dedication - Contents - Videos - Contributors - Preface - Section 1 Basic Sciences in Gynaecology - Section 2 Menstrual Disorders - Section 3 Reproductive Endocrinology and Infertility - Section 4 Contraception and STIs - Section 5 Post-Reproductive Care - Section 6 Vulva and Vagina - Section 7 Cervix - Section 8 Uterus - Section 9 Ovary and Fallopian Tubes - Section 10 Operative Gynaecology - Chapter 43 Basic Hysteroscopy - Chapter 44 Advanced Hysteroscopy - Chapter 45 Basic Laparoscopic Gynaecological Procedures - Chapter 46 Advanced Laparoscopic Gynaecological Procedures - Chapter 47 Robotic Gynaecological Surgery - Chapter 48 Myomectomy - Chapter 49 Hysterectomy for Benign Conditions - Chapter 50 Reversal of Sterilization in Females and Males to Restore Fertility - Section 11 Public Health Issues in Gynaecology - Section 12 Miscellaneous - Index - Plate Section (PDF Only) - References The 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. This chapter provides a description of advanced hysteroscopic procedures and their benefits in modern gynaecological practice. - Type - Chapter - Information - The EBCOG Postgraduate Textbook of Obstetrics & GynaecologyGynaecology, pp. 385 - 396Publisher: Cambridge University PressPrint publication year: 2021 Campo, R, Meier, R, Dhont, N, Mestdagh, G, Ombelet, W. 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