Abstract
The subject of my report is contact laser technique in operative hysteroscopy. It is my opinion that this newly developed laser technique will play a very important role in future operative hysteroscopy. To make my point clear I would like at the beginning to recall the known indications for operative hysteroscopy. They are: septa, synechia, polyps, myopas and, as fifth indication, bleeding, in my opinion, impossible to treat by means of conventional methods. At present we have following methods for intrauterine surgery: for conventional methods we can use sharp cutting instruments often combined with electrocautery. The instruments are: known in urology resecto-scopes and electrosurgical cutting loop. To exclude the danger of insufflation of CO2 in blood vessels we have to use during operative hysteroscopy liquid distension medium, for example, Hyskon or 5% glucose with continuous or interrupted flow. All hysteroscopists know exactly how uncomfortable is this technique. Because of danger of bleeding the conventional operative hysteroscopy requires very often vasoconstrictors; for proper coagulation we need the electro-surgical unit with a power of 50 watts. A possibility of transcervical intrauterine operation eliminates in many cases the need for an extended abdominal operation.
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© 1988 Springer-Verlag Berlin, Heidelberg
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Morawski, A., Wallwiener, D., Bastert, G. (1988). Nd: YAG Laser Sapphire Tip in Operative Hysteroscopy — A Preliminary Report. In: Waidelich, W., Waidelich, R. (eds) LASER Optoelectronics in Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72870-9_73
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DOI: https://doi.org/10.1007/978-3-642-72870-9_73
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