Outpatient hysteroscopy

R Campo, F Santangelo, S Gordts, C Di Cesare, H Van Kerrebroeck, M C De Angelis, A Di Spiezio Sardo, R Campo, F Santangelo, S Gordts, C Di Cesare, H Van Kerrebroeck, M C De Angelis, A Di Spiezio Sardo

Abstract

Modern hysteroscopy represents a copernical revolution for the diagnosis and treatment of uterine pathology. Traditionally hysteroscopy was performed in a conventional operation room under general anaesthesia (in-patient hysteroscopy). Recent advances in technology and techniques made hysteroscopy less painful and invasive allowing it to be performed in an ambulatory setting (outpatient hysteroscopy). The so called "see & treat hysteroscopy", has reduced the distinction between diagnostic and operative procedure, thus, introducing the concept of a single procedure in which the operative part is perfectly integrated within the diagnostic work-up. The "digital hysteroscopic clinic" (DHC) on the other hand combines ultrasound with hysteroscopy, ideal for a one stop diagnostic procedure and surgical approach, outlasting laparoscopy with ultrasound, for increased surgical performance in outpatient settings. The aim of this paper is to describe the "state of the art" in an outpatient hysteroscopy setting.

Keywords: hysteroscopy; office; one stop; outpatient; see and treat; uterus.

Figures

Figure 1
Figure 1
— DHC is equiped with a special wall delivering illumination with a desired color. A high definition camera system and a 3D ultrasound are connected to a digital patient report system.
Figure 2
Figure 2
— Hysteroscopic instruments have similar total diameter so that interchange is possible . a. Campo Trophyscope ® b. 5 French instruments including spirotome inserted in the continuous flow examination sheath c. 19 Fr. Intrauterine BIGATTI Shaver (IBS ® ) d. 15 Fr. Office Resectoscope
Figure 3
Figure 3
— The one stop diagnosic exam includes transvaginal ultrasound (2 or 3 D) followed by hysteroscopy and contrast sonography of the uterine cavity.

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Source: PubMed

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