Chapter 15 – Hysteroscopic Management of Uterine Adhesions
Abstract Heinrich Fritsch reported the first case of intrauterine adhesions (IUAs) at the end of the nineteenth century. Since 1948, a series of papers on this condition have been published…
Chapter 13 – Hysteroscopic Sterilisation
Abstract Hysteroscopic sterilisation (HS) is a permanent method of contraception and is only suitable for women who no longer desire fertility. The method works by preventing fertilisation of the egg…
Chapter 12 – Hysteroscopic Management of Fibroids
Abstract Uterine fibroids or leiomyomas are solid, invariably benign tumours of uterine smooth muscle and connective tissue. The prevalence varies according to the population studied, but is estimated to be…
Chapter 11 – Endometrial Ablation
Abstract Endometrial ablation (EA) is a minimally invasive surgical intervention that aims to reduce heavy menstrual bleeding (HMB) by destroying functionally active endometrial glands within the endometrium and the superficial…
Chapter 10 – Hysteroscopic Endometrial Polypectomy
Abstract Endometrial polyps are localised overgrowths of endometrial tissue that can occur anywhere in the uterine cavity. They contain variable amounts of glands, stroma and blood vessels that are covered…
Chapter 8 – Hysteroscopic Electrosurgery
Abstract Surgical procedures using electrosurgery can be undertaken within the uterine cavity to address excessive menstrual blood loss and to enhance fertility. The insertion of specialised electrodes down hysteroscopic instruments…
Chapter 9 – Complications of Hysteroscopic Surgery
Abstract Hysteroscopy is safe and effective and can greatly reduce morbidity and enhance recovery compared with conventional open procedures. Furthermore, it can minimise the inherent risks of general anaesthesia and…
Chapter 7 – Indications for Hysteroscopy
Abstract Improved hysteroscopic technology has enabled clinicians not only to perform diagnostic outpatient hysteroscopy but also to treat uterine lesions. Bipolar diathermy electrodes have reduced the risk of fluid overload,…
Chapter 4 – Diagnostic Hysteroscopy: Accuracy and Interpretation of Findings
Abstract Hysteroscopy can be used to diagnose endometrial and structural cavity pathologies associated with abnormal uterine bleeding (AUB) and reproductive failure. Optimal interpretation of hysteroscopic findings requires an understanding of…
Chapter 5 – Hysteroscopy Techniques and Treatment Settings
Abstract This chapter covers the process of performing hysteroscopy, paying close attention to optimising patient comfort and maximising the effectiveness of the procedure. Tips are provided for successfully inserting the…
