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Chapter 44 - Advanced Hysteroscopy

from Section 10 - Operative Gynaecology

Published online by Cambridge University Press:  24 November 2021

By
Rudi Campo ,
Stephan Gordts ,
Helena Van Kerrebroeck ,
Fabrizia Santangelo ,
Maria Chiara De Angelis  and
Attilio Di Spiezio Sardo
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

The improvements in techniques, endoscopic instrumentation and surgical experience have completely changed the approach to uterine intracavitary pathologies, allowing the physician to achieve more reliable diagnostic and therapeutic results. The advent of these new technologies allows us today to improve advanced hysteroscopic surgery by increasing the efficacy of an operating room environment but avoiding the need for the inpatient setting for most of the procedures. It is possible to treat severe cervical stenosis or intrauterine synechiae, including Asherman’s syndrome, G2 myomas, congenital uterine malformations, adenomyosis and chronically retained products of conception in an ambulatory setting. The future looks to further the simplification of instrumentation, and establish a safer and easier delivery of energy sources.

This chapter provides a description of advanced hysteroscopic procedures and their benefits in modern gynaecological practice.

Keywords

uterushysteroscopyendometrial cavitysynechiaemyomas
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 385 - 396
Publisher: Cambridge University Press
Print publication year: 2021

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References

Campo, R, Meier, R, Dhont, N, Mestdagh, G, Ombelet, W. Implementation of hysteroscopy in an infertility clinic: the one-stop uterine diagnosis and treatment. Facts Views Vis Obgyn 2014;6:235–239.Google Scholar
Perez-Medina, T, Lopez-Mora, P, Rojo, J. Comparison of the hysteroscopy-biopsy with the D & C in the diagnosis of abnormal uterine bleeding. Progresos de Obstetricia y Ginecologia 1994;37:479–486.Google Scholar
Janssens, JP, Rotenberg, L, Sentis, M, Motmans, K, Schulz-Wendtland, R. Caution with microbiopsies of the breast: displaced cancer cells and ballistics. Eur J Cancer Prev 2006;15;471–473.CrossRefGoogle ScholarPubMed
Bettocchi, S, Bramante, S, Bifulco, G, et al. Challenging the cervix: strategies to overcome the anatomic impediments to hysteroscopy: analysis of 31,052 office hysteroscopies. Fertil Steril 2016;105: e16–e17.CrossRefGoogle Scholar
Campo, R, Molinas, CR, Rombauts, L, et al. Prospective multicentre randomized controlled trial to evaluate factors influencing the success rate of office diagnostic hysteroscopy. Hum Reprod 2005;20:258–263.CrossRefGoogle ScholarPubMed
Guida, M, Di Spiezio Sardo, A, Sparice, S, et al. Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study. Hum Reprod 2006;21:3253–32 7.CrossRefGoogle ScholarPubMed
AAGL. AAGL Practice Report: Practice Guidelines for Management Of Intrauterine Synechiae. J Minim Invasive Gynecol 2010;17:1–7.Google Scholar
Campo, R, Van Belle, Y, Rombauts, L, Brosens, I, Gordts, S. Office minihysteroscopy. Hum Reprod Update 1999;5:73–81.Google Scholar
Roy, KK, Lingampally, A, Kansal, Y, et al. Pilot study comparing hysteroscopic adhesiolysis by conventional resectoscope versus mini-resectoscope. Oman Med J 2017;32:492–498.CrossRefGoogle ScholarPubMed
Di Spiezio Sardo, A, Calagna, G, Scognamiglio, M, et al. Prevention of intrauterine post-surgical adhesions in hysteroscopy: a systematic review. Eur J Obstet Gynecol Reprod Biol 2016;203:182–192.Google Scholar
Di Spiezio Sardo, A, Spinelli, M, Bramante, S, et al. Efficacy of a polyethylene oxide-sodium carboxymethylcellulose gel in prevention of intrauterine adhesions after hysteroscopic surgery. J Minim Invasive Gynecol 2011;18:462–469.CrossRefGoogle ScholarPubMed
Bettocchi, S, Ceci, O, Di Venere, R, et al. Advanced operative office hysteroscopy without anaesthesia: analysis of 501 cases treated with a 5 Fr, bipolar electrode. Hum Reprod 2002;17:2435–2438.Google Scholar
Papalampros, P, Gambadauro, P, Papadopoulos, N, et al. The mini-resectoscope: a new instrument for office hysteroscopic surgery. Acta Obstet Gynecol Scand 2009;88:227–230.CrossRefGoogle ScholarPubMed
Noventa, M, Ancona, E, Quaranta, M, et al. Intrauterine morcellator devices: the icon of hysteroscopic future or merely a marketing image? A systematic review regarding safety, efficacy, advantages, and contraindications. Reprod Sci 2015;22:1289–1296.CrossRefGoogle ScholarPubMed
Di Spiezio Sardo, A, Mazzon, I, Bramante, S, et al. Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update 2008;14:101–109.Google Scholar
Emanuel, MH, Wamsteker, K. The intrauterine morcellator: a new hysteroscopic operating technique to remove intrauterine polyps and fibroid. J Minim Invasive Gynecol 2005;12:62–83.CrossRefGoogle Scholar
Bettocchi, S, Di Spiezio, A, Ceci, O, et al. A new hysteroscopic technique for the preparation of partially intramural myomas in office setting (OPPIuM technique): a pilot study. J Minim Invasive Gynecol 2009;16:748–754.CrossRefGoogle ScholarPubMed
Mazzon, I. Nuova tecnica per la miomectomia isteroscopia: enucleazione con ansa fredda. In: Testo-Atlante di Chirurgia Endoscopica Ginecologica. Palermo: COFESE, 1995.Google Scholar
Litta, P, Vasile, C, Merlin, F, et al. A new technique of hysteroscopic myomectomy with enucleation in toto. J Am Assoc Gynecol Laparosc 2003;10:263–270.CrossRefGoogle ScholarPubMed
Hamou, J. Electroresection of fibroids. In: Endoscopic Surgery for Gynecologists. London: W.B. Saunders, 1993, pp. 327–330.Google Scholar
Bigatti, G, Ferrario, C, Rosales, M, Baglioni, A, Bianchi, S. A 4-cm G2 cervical submucosal myoma removed with the IBS® Integrated Bigatti Shaver. Gynecol Surg 2012;9:453–456.CrossRefGoogle ScholarPubMed
Gordts, S, Grimbizis, G, Campo, R. Symptoms and classifications of uterine adenomyosis, including the place of hysteroscopy in diagnosis. Fertil Steril 2018;109:380–388.Google Scholar
Molinas, CR, Campo, R. Office hysteroscopy and adenomyosis. Best Pract Res Clin Obstet Gynaecol 2006;20:557–567.CrossRefGoogle ScholarPubMed
Di Spiezio Sardo, A, Calagna, G, Santangelo, F, et al. The role of hysteroscopy in the diagnosis and treatment of adenomyosis. Bio Med Res Int 2017;2017: 2518396.Google ScholarPubMed
Grimbizis, GF, Gordts, S, Di Spiezio Sardo, A, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod 2013;28:2032–2044.CrossRefGoogle ScholarPubMed
Meier, R, Campo, R. T-shaped uterus in Female Genital Tract Congenital Malformations: Classification, Diagnosis, and Management. London: Springer, 2015.Google Scholar
Di Spiezio Sardo, A, Florio, P, Nazzaro, G, et al. Hysteroscopic outpatient metroplasty to expand dysmorphic uteri (HoMe- DU technique): a pilot study. Reprod Biomed Online 2015;30:166–174.Google Scholar
Homer, HA, Li, TC, Cooke, ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril 2000;73:1–14.CrossRefGoogle ScholarPubMed
Di Spiezio Sardo, A, Zizolfi, B, Bettocchi, S, et al. Accuracy of hysteroscopic metroplasty with the combination of presurgical 3-dimensional ultrasonography and a novel graduated intrauterine palpator: a randomized controlled trial. J Minim Invasive Gynecol 2016;23:557–566.CrossRefGoogle Scholar
McGurgan, P, O’Donovan, P. Second-generation endometrial ablation: an overview. Best Pract Res Clin Obstet Gynaecol 2007;21:931–945.CrossRefGoogle ScholarPubMed
Angioni, S, Pontis, A, Nappi, L, et al. Endometrial ablation: first vs second generation techniques. Minerva Gynecol 2016;68:143–153.Google ScholarPubMed
Capmas, P, Lobersztajn, A, Duminil, L, et al. Operative hysteroscopy for retained products of conception: efficacy and subsequent fertility. J Gynecol Obstet Hum Reprod 2019;48:151–154.CrossRefGoogle ScholarPubMed
Goldenberg, M, Schiff, E, Achiron, R, et al. Managing residual trophoblastic tissue: hysteroscopy for directing curettage. J Reprod Med 1997;42:26–28.Google ScholarPubMed

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