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Office Operative Hysteroscopy: Polyp and Submucosal Fibroid Removal

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Office-Based Gynecologic Surgical Procedures

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Abstract

Hysteroscopy is a rapidly developing field of gynecologic practice, progressing from an outpatient to an outpatient procedure. The advent of small-sized instrumentation with a final diameter of <5 mm turn hysteroscopy into a safe and more comfortable manipulation (or intervention) and permit it be performed as an office procedure without anesthesia. The introduction of bipolar electrosurgical systems extends indications for office hysteroscopy, at the same time making it a more safe and cost-effective procedure. Hysteroscopy is the gold standard for evaluation of the endometrial cavity with more accuracy than blind methods, and gives the possibility to more accurately diagnose uterine abnormalities in patients presenting with pre or postmenopausal uterine bleeding, intermenstrual spotting, or infertility. With increasing utilization of office-based procedures, many of the pathologies diagnosed at the time of office hysteroscopy can now be treated in the same setting at the time of diagnosis. This chapter will review Operative Office Hysteroscopy including the removal of endometrial polyps and intracavitary submucosal fibroids. Available equipment, patient selection, and the basics of these procedures will also be outlined including a discussion of preoperative preparation and postoperative care.

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Acknowledgments

Much thanks goes to Rahshanda Askanova MD, OB/GYN Resident, Trakya University, Edirne, Republic of Turkey for her assistance in collecting data and references was well as help in the draft of the chapter.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology & Women’s Health Institute, Cleveland Clinic, 9500 Euclid Ave., Suite A81, Cleveland, OH, 44195, USA

    Mona E. Orady M.D., F.A.C.O.G.

  2. Department of Obstetrics and Gynecology, Faculty of Medicine, Trakya University, Cleveland, Edirne, 22030, Turkey

    Rakshanda Aslanova M.D.

Authors
  1. Mona E. Orady M.D., F.A.C.O.G.
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  2. Rakshanda Aslanova M.D.
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Correspondence to Mona E. Orady M.D., F.A.C.O.G. .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecolog, Cleveland Clinic, Willoughby Hills, Ohio, USA

    Jonathan D. Emery

  2. Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio, USA

    Marie Fidela R. Paraiso

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Orady, M.E., Aslanova, R. (2015). Office Operative Hysteroscopy: Polyp and Submucosal Fibroid Removal. In: Emery, J., Paraiso, M. (eds) Office-Based Gynecologic Surgical Procedures. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1414-2_9

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  • DOI: https://doi.org/10.1007/978-1-4939-1414-2_9

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