indications

This link was last updated on October 01, 2000 and review on July 20, 2005.


This text should be cited as:

Afonso JS. E-book hysteroscopy. In: http://www.histeroscopia.med.br/. Access in:

José Sebastião Afonso


The uterine cavity can be explored by the ultrasonography, hysterosonography, hysterography, curetage and biopsy of the endometrium. If there is any indication for these procedures, it can probably be complemented or substituted by hysteroscopy.

technique

This link was last updated on October 01, 2000 and review on July 20, 2005.


This text should be cited as:

Afonso JS. E-book hysteroscopy. In: http://www.histeroscopia.med.br/. Access in:


José Sebastião Afonso

Diagnostic:

The examing can be done in the first as in the second phase of the menstrual cycle, in the second phase of the menstrual cycle the examiner should check for pregnancy. The examing in first phase has as advantage due to more limpid mucus and channel hypotonic. The second phase provides stabler images that are adapted for the study, mainly of the functional alterations. No previous preparation is necessary when it`s not intended to associate an anesthetic procedure. In gynecological position, is done the vaginal examination, insertion of the vaginal speculum, asepsis of the cervix and it is grasped or not with the Pozzi. The examing starts passing the histeroscope through the cervical channel, visualization of the uterine cavity (panoramic view and with details in the increase of 20 x) and cervical revision. The examing should always be under constant visualization. The patient postmenopausal with atresia cervical is prepared with topic estrogen for 10 days prior the procedure. The biopsy with the Novak is a great help in some cases. 

instruments

This link was last updated on October 01, 2000 and review on July 20, 2005.


This text should be cited as:

"Author". E-book hysteroscopy. In: http://www.histeroscopia.med.br/. Access in:


José Sebastião Afonso

Diagnostic:

Rigid endoscope with 2,7 - 2,9 mm of diameter with diagnostic shirt.

Rigid endoscope with 4,0 mm of diameter with diagnostic shirt.

history

  • Désormeaux, in 1865, produced the first hystoscope.
  • Pantaleoni in 1869 accomplished the first hysteroscopy using the instrument of Désormeaux. He isolated and cauterized an uterine polyp with silver nitrate.
  • Nitze, in 1879, drew and produced an endoscope using the modern beginnings. 

  • This image is in the public domain because its copyright has expired in the United States and those countries with a copyright term of life of the author plus 100 years or less.

     

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