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General Techniques and Instrumentation of Operative Hysteroscopy

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Abstract

Hysteroscopy is a term derived from the Greek words to view (skopeo) and uterus (hystera). As a procedure it was first successfully performed in a living human subject in 1869 by Pantaleoni, who used a tube with an external light source to detect “vegetations within the uterine cavity.”(1) No attempt was made by Pantaleoni at that time to distend the uterine cavity during this procedure. Over the past 100 years developments in optics, fiberoptics, instruments, and distending media have resulted in equipment and techniques that now allow us to diagnose and treat intrauterine disorders using hysteroscopy. The purpose of this chapter is to review these instruments and their accessories, as well as the distending media, lighting, indications, contraindications, and preoperative preparation for this procedure.

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References

  1. Pantaleoni DC. An endoscopic examination of the cavity of the womb. Med Press Circular (London). 1869;8:26–27.

    Google Scholar 

  2. Prescott R. Optical principles of endoscopy. J Med Primatol. 1976;5:133–147.

    PubMed  CAS  Google Scholar 

  3. Rubin IC. Uterine endoscopy, endometroscopy with the aid of uterine insufflation. Am J Obstet Gynecol. 1925;10:313–327.

    Google Scholar 

  4. Norment WB. Improved instruments for the diagnosis of pelvic lesions by the hysterogram and water hysteroscope. N C Med J. 1949;10: 646–649.

    PubMed  CAS  Google Scholar 

  5. Silander T. Hysteroscopy through a transparent rubber balloon in patients with carcinoma of the uterine endometrium. Acta Obstet Gynecol Scand. 1963;42:284–299.

    Article  PubMed  CAS  Google Scholar 

  6. Heineberg A. Uterine endoscopy: an aid to precision in the diagnosis of intra-uterine disease. Surg Gynecol Obstet. 1914;18:513–515.

    Google Scholar 

  7. Schroeder C. Uber den ausbau und die leistungen der hysteroskopie. Arch Gynaekol. 1934;156:407–419.

    Article  Google Scholar 

  8. Witz CA, Silverberg KM, Burns WN, Schenken RS, Olive DL. Complications associated with the absorption of hysteroscopic fluid media. Fertil Steril. 1993;5:745–756.

    Google Scholar 

  9. Mizutani AR, Parker J, Katz J, Schmidt J. Visual disturbances, serum glycine levels and transurethral resection of the prostate. J Urol. 1990;144: 697–699.

    PubMed  CAS  Google Scholar 

  10. Menken FC. Endoscopie observations of endocrine processes and hormonal changes. In: Simposio Esteriodes Sexuales, Bogata, 1968, pp 24–26.

    Google Scholar 

  11. Edstrom K, Fernstrom I. The diagnostic possibilities of a modified hysteroscopic technique. Acta Obstet Gynecol Scand. 1970;49:327–330.

    Article  PubMed  CAS  Google Scholar 

  12. Lindemann HJ. CO2-Hysteroscopy today. Endoscopy. 1979;2:94–100.

    Article  Google Scholar 

  13. Lindemann JH, Mohr J. CO2 hysteroscopy: diagnosis and treatment. Am J Obstet Gynecol. 1976;124:129–133.

    Google Scholar 

  14. Hulf JA, Corall IM, Knights KM, et al. Blood carbon dioxide tension changes during hysteroscopy. Fertil Steril. 1979;32:193–196.

    PubMed  CAS  Google Scholar 

  15. Shirk GJ, Gimpelson RJ. Control of intrauterine fluid pressure during operative hysteroscopy. J Am Assoc Gynecol Laparosc. 1994;1:229–233.

    Article  PubMed  CAS  Google Scholar 

  16. Lavy G, Diamond MP, Shapiro B, et al. A new device to facilitate intrauterine instillation of dextran 70 for hysteroscopy. Obstet Gynecol. 1987;70:955–957.

    PubMed  CAS  Google Scholar 

  17. Neuwrith R. Hysteroscopy. In: Friedman EA, ed. Major Problems in Obstetrics and Gynecology. Vol. 8. Philadelphia: WB Saunders; 1975:1–116.

    Google Scholar 

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© 1997 Springer Science+Business Media New York

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Smith, Y.R., Murray, D., Zacur, H.A. (1997). General Techniques and Instrumentation of Operative Hysteroscopy. In: Azziz, R., Murphy, A.A. (eds) Practical Manual of Operative Laparoscopy and Hysteroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1886-9_26

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  • DOI: https://doi.org/10.1007/978-1-4612-1886-9_26

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7324-0

  • Online ISBN: 978-1-4612-1886-9

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