Hysteroscopy pp 593-624 | Cite as

What’s the Role of the Hysterotrainers in the New Era?

  • Ibrahim Alkatout


The basic concept of laparoscopy was developed by Kurt Semm and Liselotte Mettler in the 1980s. However, the instruments and techniques used at that time (endotherm and loop) did not keep pace with the development of the surgical techniques and the variety of surgical indications. Advancements in instruments, technical support, and consistent training have considerably improved the procedure.

Laparoscopy today has become a standard operation with low complication rates and a regular learning curve. It is associated with reduced blood loss, shorter hospital stays, earlier return to normal activities, and fewer infections compared to all other surgical methods. Its major advantage is the possibility to simultaneously treat comorbidities, such as endometriosis, fibroids, or adhesions. Regarding family planning, complementary usage of hysteroscopy and laparoscopy might be useful to better diagnose anatomic pathologies, such as septum or adenomyosis, and allows simultaneous treatment at the highest level of safety. The final decision is made jointly by the doctor and the patient.


Hysteroscopy Laparoscopy Endometriosis Myomectomy Fertility 


  1. 1.
    Kovac SR. Route of hysterectomy: an evidence-based approach. Clin Obstet Gynecol. 2014;57(1):58–71. Epub 2013/12/20CrossRefPubMedGoogle Scholar
  2. 2.
    Schollmeyer T, Elessawy M, Chastamouratidhs B, Alkatout I, Meinhold-Heerlein I, Mettler L, et al. Hysterectomy trends over a 9-year period in an endoscopic teaching center. Int J Gynaecol Obstet. 2014;126(1):45–9. Epub 2014/05/16CrossRefPubMedGoogle Scholar
  3. 3.
    Clevin L. Diagnostic hysteroscopy and office hysteroscopy. In: Schollmeyer T, Mettler L, Rüther D, Alkatout I, editors. Practical manual for laparoscopic and hysteroscopic gynecological surgery. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2013. p. 423–33.Google Scholar
  4. 4.
    Römer T. Operative hysteroscopy. In: Schollmeyer T, Mettler L, Rüther D, Alkatout I, editors. Practical manual for laparoscopic and hysteroscopic gynecological surgery. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2013. p. 437–44.Google Scholar
  5. 5.
    Schüssler B, Scheidel P, Hohl MK. Hysterektomie update. Frauenheil Aktuell. 2008;3:4–12.Google Scholar
  6. 6.
    Veress J. Neues Instrument zur Ausführung von Brust- und Bauchpunktionen und Pneumothoraxbehandlung. Dtsch Med Wochenschr. 1938;64:1480–1.CrossRefGoogle Scholar
  7. 7.
    Semm K. Hysterectomy via laparotomy or pelviscopy. A new CASH method without colpotomy. Geburtsh Frauenheil. 1991;51(12):996–1003. Epub 1991/12/01. Hysterektomie per laparotomiam oder per pelviskopiam. Ein neuer Weg ohne Kolpotomie durch CASHCrossRefGoogle Scholar
  8. 8.
    Alkatout I, Mettler L, Maass N, Noe GK, Elessawy M. Abdominal anatomy in the context of port placement and trocars. J Turk Ger Gynecol Assoc. 2015;16(4):241–51. Epub 2015/12/23CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Olive DL, Schwartz LB. Endometriosis. N Engl J Med. 1993;328(24):1759–69. Epub 1993/06/17CrossRefPubMedGoogle Scholar
  10. 10.
    Engemise S, Gordon C, Konje JC. Endometriosis. BMJ. 2010;340:c2168. Epub 2010/06/25CrossRefPubMedGoogle Scholar
  11. 11.
    Hughes E, Brown J, Collins JJ, Farquhar C, Fedorkow DM, Vandekerckhove P. Ovulation suppression for endometriosis. Cochrane Database Syst Rev. 2007;3:CD000155. Epub 2007/07/20Google Scholar
  12. 12.
    Mahmood TA, Templeton A. The impact of treatment on the natural history of endometriosis. Hum Reprod. 1990;5(8):965–70. Epub 1990/11/01CrossRefPubMedGoogle Scholar
  13. 13.
    Vercellini P, Consonni D, Dridi D, Bracco B, Frattaruolo MP, Somigliana E. Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis. Hum Reprod. 2014;29(5):964–77. Epub 2014/03/14CrossRefPubMedGoogle Scholar
  14. 14.
    Benagiano G, Brosens I, Habiba M. Adenomyosis: a life-cycle approach. Reprod Biomed Online. 2015;30(3):220–32. Epub 2015/01/21CrossRefPubMedGoogle Scholar
  15. 15.
    Alkatout I, Egberts JH, Mettler L, Doniec M, Wedel T, Junemann KP, et al. Interdisciplinary diagnosis and treatment of deep infiltrating endometriosis. Zentralbl Chir. 2015;141(6):630–8. Epub 2015/02/28. Interdisziplinare Diagnostik und Therapie der tief infiltrierenden EndometrioseCrossRefPubMedGoogle Scholar
  16. 16.
    Medicine PCoASfR. Treatment of pelvic pain associated with endometriosis. Fertil Steril. 2008;90(5 Suppl):S260–9. Epub 2008/11/26Google Scholar
  17. 17.
    Schindler AE. Kombiniertes chirurgisch-hormonelles Management der Endometriose. Zentralbl Gynakol. 1999;121(7):325–9. Epub 1999/09/01. Kombiniertes chirurgisch-hormonelles Management der Endometriose. Langzeit follow-upPubMedGoogle Scholar
  18. 18.
    Crosignani PG, Vercellini P, Biffignandi F, Costantini W, Cortesi I, Imparato E. Laparoscopy versus laparotomy in conservative surgical treatment for severe endometriosis. Fertil Steril. 1996;66(5):706–11. Epub 1996/11/01CrossRefPubMedGoogle Scholar
  19. 19.
    Jacobson TZ, Barlow DH, Garry R, Koninckx P. Laparoscopic surgery for pelvic pain associated with endometriosis. Cochrane Database Syst Rev. 2001;4:CD001300. Epub 2001/11/01Google Scholar
  20. 20.
    Taylor E, Williams C. Surgical treatment of endometriosis: location and patterns of disease at reoperation. Fertil Steril. 2010;93(1):57–61. Epub 2008/11/14CrossRefPubMedGoogle Scholar
  21. 21.
    Healey M, Ang WC, Cheng C. Surgical treatment of endometriosis: a prospective randomized double-blinded trial comparing excision and ablation. Fertil Steril. 2010;94(7):2536–40. Epub 2010/04/02CrossRefPubMedGoogle Scholar
  22. 22.
    Yeung PP Jr, Shwayder J, Pasic RP. Laparoscopic management of endometriosis: comprehensive review of best evidence. J Minim Invasive Gynecol. 2009;16(3):269–81. Epub 2009/05/09CrossRefPubMedGoogle Scholar
  23. 23.
    Alkatout I, Mettler L, Beteta C, Hedderich J, Jonat W, Schollmeyer T, et al. Combined surgical and hormone therapy for endometriosis is the most effective treatment: prospective, randomized, controlled trial. J Minim Invasive Gynecol. 2013;20(4):473–81. Epub 2013/04/10CrossRefPubMedGoogle Scholar
  24. 24.
    Bjerrum F. Current hysteroscopic training models. In: Schollmeyer T, Mettler L, Rüther D, Alkatout I, editors. Practical manual for laparoscopic and hysteroscopic gynecological surgery. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2013. p. 41–4.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Gynecology and Obstetrics, Kiel School of Gynecological EndoscopyUniversity Hospitals Schleswig-HolsteinKielGermany

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