Mastering the Techniques in Hysteroscopy

This book is a complete guide to the use of hysteroscopy in the investigation and diagnosis of gynaecological disorders and diseases.

Beginning with an introduction to the technique, discussion on anatomy and physiology of the uterus, and descriptions of other imaging technologies, the book then explains the hysteroscope and procedural techniques.

Each of the following chapters covers the diagnosis of different disorders using hysteroscopy, including polyps and fibroids, abnormal bleeding, infertility, intrauterine adhesions, and much more. The final sections discuss potential complications, medico-legal aspects and anaesthesia in hysteroscopy.

Written by an experienced team of recognised editors and authors, this comprehensive guide features nearly 1300 clinical images and illustrations, and also includes an interactive DVD ROM demonstrating techniques.

Key Points

• Complete guide to hysteroscopy in diagnosis of gynaecological disorders
• Covers investigation of numerous conditions
• Features nearly 1300 images and illustrations
• Includes DVD ROM demonstrating techniques

Section 1: The Beginning with Hysteroscopy
1. Introduction: Hysteroscopy and Its Philosophy
2. History and Evolution of Hysteroscopy

Section 2: Knowing the Uterus
3. Anatomy, Embryology and Hysteroscopy
4. Physiology: The Uterus, Cervix and Practical Aspect
5. Histology and Hysteroscopic View of Normal Endometrium
6. Abnormal Endometrium and Hysteroscopy
7. Effects of Drugs on the Uterus
8. How to Date Endometrium through Hysteroscopy without the Need of Biopsy

Section 3: Imaging Technologies for Intrauterine Diagnosis
9. Hysterosalpingography for Intrauterine Diagnosis and Hysteroscopy
10. Imaging Modalities for Assessment of Uterine Abnormalities
11. Ultrasonography 2D, 3D and Sonohysterography in Abnormal Uterine Bleeding and Correlation with Hysteroscopy
12. Beyond Ultrasound—Role of MRI in Uterine Imaging

Section 4: Hysteroscope and Its Gadgets
13. Instrumentation in Hysteroscopy
14. Optical Principles and Camera for Hysteroscope
15. Distension Media and Fluid Management Machines
16. Basics of Electrosurgery for Intrauterine Procedures: Monopolar and Bipolar
17. Laser in Office Hysteroscopy
18. How to Run Hi-Tech Hysteroscopy Unit

Section 5: Hysteroscopy—Start with Basics
19. Diagnostic Hysteroscopy

Section 6: Office Hysteroscopy
20. Office Hysteroscopy: An Approach to Modern Gynecology
21. Ambulatory Hysteroscopy for All
22. Hysteroscopy in Adolescents
23. Office Hysteroscopy in Climacteric Women
24. Hysteroscopy in the Diagnosis and Treatment of Cervical Lesions

Section 7: Hysteroscopy and Congenital Uterovaginal Anomalies
25. Uterine Malformations—General Review
26. Uterine Septum
27. Lateral Metroplasty
28. Uncommon Malformations—A Rare Case of Robert’s Uterus and Its Surgical Management
29. Role of Endoscopy in Vaginal Septum

Section 8: Polyps, Fibroids and Hysteroscopy
30. Hysteroscopy and Polyps
31. Dealing with Submucous Myoma
32. Hysteroscopic Myomectomy—Impact of Size of Submucous Myoma and MyoSure
33. Management of Submucous Myomas with the Intrauterine Bigatti Shaver
34. Cold Loop Hysteroscopic Intracapsular Myomectomy: A Safe and Effective Myometrial Sparing Treatment

Section 9: Hysteroscopy in Abnormal Bleeding
35. Hysteroscopy and Dysfunctional Uterine Bleeding
36. Hysteroscopy in Adenomyosis
37. Hysteroscopy in Acute Uterine Bleeding
38. Transcervical Resection of the Endometrium with Hysteroscopy
39. Classification of Microhysteroscopic Images
40. Endometrial Metaplasias

Section 10: Intrauterine Adhesions
41. Uterine Synechiae
42. Innovative Alternatives in the Postoperative Management of Asherman Syndrome

Section 11: Hysteroscopy and Infertility
43. Hysteroscopy and Infertility
44. Hysteroscopy Guided Transuterine Cannulation for Treatment of Proximal Tubal Blocks Using an Innovative Technique
45. Hysteroscopic Embryo Transfer

Section 12: Intrauterine Foreign Bodies and Hysteroscopy
46. Intrauterine Foreign Bodies Other than Cu-T and Hysteroscopy
47. Hysteroscopic Retrieval of Lost Intrauterine Devices

Section 13: Hysteroscopy in Obstetrics and Gynecology in Different Situations
48. Hysteroscopic Management of Cervical Ectopic Pregnancy
49. Diagnostic and Operative Hysteroscopy for Pelvic Pain
50. Hysteroscopic Guidance in Obstetric Procedures
51. Uterine Scar after Cesarean Section: A Multimodal Evaluation and Treatment
52. Hysteroscopic Correction of Isthmocele

Section 14: Hysteroscopy and Tubal Sterilization
53. Scope of Hysteroscopy in Family Planning
54. Hysteroscopic Methods of Sterilization Nowadays: Essure Device

Section 15: Endometrial TB and Hysteroscopy
55. Hysteroscopic Markers in Endometrial Tuberculosis and Chronic Endometritis
56. Role of Hysteroscopy in Endometrial Infections

Section 16: Hysteroscopy as a Complimentary
57. Hysteroscopy as a Complimentary to Laparoscopy
58. Hysteroscopy as a Complimentary with Falloposcopy
59. Hysteroscopic Embryoscopy

Section 17: All about Difficulties in Hysteroscopy
60. Complications of Hysteroscopy
61. Difficulties in Negotiating Hysteroscope to Reach Uterine Cavity

Section 18: Anesthesia in Hysteroscopy
62. Nerve Supply to the Uterus and Methods of Anesthesia
63. Precautions for Hysteroscopy from Anesthesiologist’s Point of View and Management of Crisis
64. Pain Management for In-Office Hysteroscopy

Section 19: Hysteroscope—An Expanding Scope
65. What is New in Hysteroscopy?

Section 20: Hysteroscopy, You and Other Aspects
66. Maintenance and Sterilization of Hysteroscopic Instruments
67. Controversies and Misleading Facts in Hysteroscopy
68. Medicolegal Aspects of Hysteroscopy

Section 21: Tips and Tricks
69. Technical Tricks in Dealing with Hysteroscope
70. Tips and Tricks to Revolutionize the Hidden Art of Intrauterine Surgery 7

Index

Osama Shawki MD
Professor of Gynaecologic Surgery, Department of Gynaecology, Cairo University, School of Medicine; Faculty Professor, Giessen School of Endoscopy, Germany; Board Member, International Society Gynaecologic Endoscopy; Director of Ebtesama Centre for Advanced Endoscopic Surgery; Director, Hysteroscopy Academy for Research and Training, Al Ebtesama Hospital, Heliopolis, Cairo, Egypt

Sushma Deshmukh MD DGO
Director, Central India Test Tube Baby Centre, Head of Department, Ob-Gyn Get well Superspeciality Hospital, In charge of Deshmukh Hospital, Nagpur, India

Luis Alonso Pacheco MD
Unidad Endoscopia Centro Gutenberg, URA Quiron, Málaga, Spain