Chapter 19 – Research and New Developments in Hysteroscopy
Abstract One of the fundamental maxims of surgery is to work with excellent visualisation of the operative field. The dark, inaccessible nature of the uterine cavity has led to procedures…
GASTROENTEROLOGY
Chapter 18 – Training in Hysteroscopic Skills
Abstract Training allows healthcare professionals to develop skills that benefit patients, improve their care and keep them safe. It is an essential aspect of reducing or preventing harm to our…
Chapter 16 – Unusual Hysteroscopic Situations: Caesarean Niche and Retained Placental Tissue
Abstract With the rising rate of caesarean sections (CS) and the increasing capabilities of ultrasound and hysteroscopy, there is growing interest in the caesarean scar in the non-pregnant woman. A…
Chapter 17 – Audit, Data Collection and Clinical Governance in Hysteroscopy
Abstract Hysteroscopy involves both diagnostic and therapeutic procedures. Inpatient hysteroscopy is well established, but the development of outpatient services is relatively new. Audit is the process by which we assess…
Chapter 14 – Management of Congenital Uterine and Vaginal Anomalies
Abstract Congenital anomalies of the female genital tract are alterations in embryonic development due to an interruption or deviation in the ontogenesis of individual organs, or part, of the reproductive…
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…