Hysteroscopic surgery.
Because a wide variety of conditions can be diagnosed hysteroscopically, hysteroscopy has become a diagnostic gold standard. Through "operative" hysteroscopes, both the electrical current of the resectoscope and the energy of the neodymium:yttrium-aluminum-garnet laser have been effective tools in many cases and presented a new alternative to laparotomy and hysterectomy. The most frequent procedures are 1) endometrial ablation and partial endometrial ablation, 2) myomectomy for submucous myomas, 3) two-step myomectomy for large submucosal and intramural myomas, 4) hysteroscopic management of müllerian defects, and 5) hysteroscopic management of intrauterine adhesions.
Donnez
J
J
Department of Gynecology, Cliniques Universitaires St. Luc, University of Louvain, Brussels, Belgium.
Nisolle
M
M
D004598:Electrosurgery; D004717:Endometrium / Q000601:surgery; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D053685:Laser Therapy; D007889:Leiomyoma / Q000601:surgery; D009095:Mullerian Ducts / Q000002:abnormalities; D011183:Postoperative Complications; D000267:Tissue Adhesions / Q000601:surgery; D014591:Uterine Diseases / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000601:surgery*