The Shaver Technique for Operative Hysteroscopy
Presently, the double flow bipolar resectoscope is considered the gold standard technique to perform hysteroscopic operations. We have recently proposed an alternative approach to operative hysteroscopy called Intrauterine Bigatti Shaver (IBS®) that, by removing the tissue chips at the same time as their resection, improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation, and long surgeon’s learning curve. In cooperation with Karl Storz GmbH & Co., we have created a new shaving system that, when introduced through the straight operative channel of a panoramic 90° optic, allows performance of all major hysteroscopic operations. This study is a review of the present literature regarding the shaver technique including its history and its future indications
KeywordsIBS® Intrauterine Bigatti Shaver Operative hysteroscopy
This chapter is dedicated to Ralph Sandler and to all the men of the Rollerball Team. Special thanks go to Karl Storz GmbH & Co employees, Storz Italia for their technical support, and in particular, to Dr. H.C. Mult. Sybill Storz and Helmut Wehrstein, who believed in this project from its beginning. Special thanks are addressed to Prof. Ivo Brosens, Dr. Rudi Campo, Dr. Yves Van Belle, and Prof. Berndt Rudelstorfer, maestro di vita. From my team I must thank Dr. Maddalena Santirocco for the research and iconographic part of this study, and the nurse Chiara Molaschi for her loyalty and support during the surgical operations performed all over the world. Translation by Ettore Claudio Iannelli. Declaration of interest: The contracts with Dr. Bigatti and the mutually provided benefits concerning the development and the consultancy on the IBS® are in no way affiliated with any other service or procurement decisions on the part of the contractual parties, including studies like the present one. Therefore, Dr. Bigatti has received no financial compensation for this study.
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