Tips and tricks in office hysteroscopy

Publication date: Available online 13 February 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Attilio Di Spiezio Sardo , Gloria Calagna , Costantino Di Carlo Office hysteroscopy is a minimally invasive procedure that has been shown to be highly accurate in diagnosing abnormalities of the endometrial cavity and endocervical canal. It allows the direct visualizing of uterine pathology without the need for general anesthesia and the use of an operating room, generating cost savings and a greater compliance among patients. The advent of small-diameter hysteroscopes, the use of saline solution as a distension media as well as the vaginoscopic technique have widely contributed to the diffusion of such technique in the world, and currently, it can be considered the gold standard for examination of the uterine cavity. The improved technology has also enabled surgeon to perform many operative procedures in an ambulatory setting, without significant patient discomfort. With the development of miniaturized operative hysteroscopes and mechanical/electrified instruments, many surgical interventions on the uterine cavity can be actually performed safely and effectively in the office-based setting, introducing the concept of “see & treat hysteroscopy”. This review provides some tips & tricks to maximize the chance of success of an office hysteroscopy either diagnostic or operative.
Source: Gynecology and Minimally Invasive Therapy - Category: OBGYN Source Type: research