General Techniques and Instrumentation of Operative Hysteroscopy
Hysteroscopy is a term derived from the Greek words to view (skopeo) and uterus (hystera). As a procedure it was first successfully performed in a living human subject in 1869 by Pantaleoni, who used a tube with an external light source to detect “vegetations within the uterine cavity.”(1) No attempt was made by Pantaleoni at that time to distend the uterine cavity during this procedure. Over the past 100 years developments in optics, fiberoptics, instruments, and distending media have resulted in equipment and techniques that now allow us to diagnose and treat intrauterine disorders using hysteroscopy. The purpose of this chapter is to review these instruments and their accessories, as well as the distending media, lighting, indications, contraindications, and preoperative preparation for this procedure.
KeywordsUterine Cavity Biopsy Forceps Lens System Outer Sheath Uterine Endometrium
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