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Abstract

Diagnostic and operative hysteroscopy

Today diagnostic and operative hysteroscopy are standard procedures in diagnostics and treatment of many gynecological diseases. Diagnostic hysteroscopy is necessary in diagnostics of infertility and abnormal uterine bleedings. An office hysteroscopy is possible in the most of the cases. The complication rate of diagnostic hysteroscopy is low (< 1%). Operative hysteroscopy is a more demanding surgical method. Extensive technical equipment and special experience of the surgeon is necessary. Septum dissection, intrauterine adhesiolysis, myoma- and polpyresection can improve the fertility and prevent abortions. Endometrial resection and ablation are established procedures to hysterectomy in patients suffering from recurrent bleeding disorders. A hysterectomy can prevent in 90% of these patients. Complications of operative hysteroscopy are rare, but could be severe. All surgeons should be known these complications and their management.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2014; 10(3): 258–272

Keywords
Hysteroscopy, infertility, abnormal uterine bleedings, septum dissection, endometrium resection

Thomas Römer
Evangelisches Krankenhaus Köln-Weyertal, Köln
Reviewer: Matthias David, Berlin,
und Klaus Joachim Neis, Saarbrücken

Römer T. Diagnostische ... Gynakol Geburtsmed Gynakol Endokrinol 2014; 10(3): 258–272 publiziert 30.11.2014 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2014 ISSN 1614-8533