Hysteroscopy is a examination of interior of uterine cavity through a scope.

1. Dr.Chaduvula Suresh Babu
Professor
Department of OBGYN
GIMSR
Visakhapatnam, AP, India

2.  It is a procedure in which cervical canal and
uterine cavity is visualised through a scope
called Hysteroscope.
 An important minimally invasive surgery
[MIS]
 Combination of Laparo and Hysteroscopy is
called ‘ Pelvicoscopy’.

3.  1869 – Pantaleoni
 1970 – Improvement in optic system,
availability of distension media
 1980- 1990 – office hysteroscopy
 2014 – Steffano Bettocchi – from Italy
invented latest and safe techniques

4.  Rigid Hysteroscope
 Flexible Hysteroscope
 Contact Hysteroscope
 Micro Hysteroscope

9.  1. Carbondioxide
 2. Normal Saline
 3. 1.5 % Glycine
 4. Hyskon
 5. 5% Dextrose
 6. Ringer lactate

10.  Monopolar or Bipolar energy source
depending which type of media you are using

11.  Xenon or Halogen light - elicits cold light

13.  Postmenstrual or Preovulatory
 Emdometrium will be thin
 Bleeding will be less

14.  Diagnostic:
 1. Endocervical study
 2. Uterine Malformations
 3. Asherman syndrome
 4. Uterine septum
 5. Sub-mucus fibroid
 6. Sub-mucu polyp
 7. Postmenopausal endometrial biopsy
 8. Misplaced IUCD
 9. Contraception
 10. Falloscopy
 11. Endometrial TB
 12. AUB
 13. Cancer staging – endometrial
 14. Preinvasive lesions from endocervix

22.  Therapeutic:
 1. Myomectomy
 2. Polypectomy
 3. Tubal canulation
 4. Tubal Sterilization
 5. Endometrial Ablation – TCRE, roller ball
coagulation
 6. Septal resection
 7. Metroplasty
 8. Asherman syndrome – Adhesiolysis
 9. Retrieval of misplaced IUCD
 10. IVF – insemination
 11. Ballonoplasty

23.  1. Acute pelvic Infection
 2. Pregnancy
 3. Allergic to Glycine
 4. Scarred Uterus
 5. Uterus larger than 12 weeks
 6. Cervical stenosis
 7. During menstruation

24.  1. Vasovagal shock
 2. Anaesthesia complications
 3. Perforation
 4. Fluid overload
 5. Electrical Injury
 6. Incomplete entry
 7. Incomplete diagnosis
 8. Incomplete surgery
 9. Allergy to Glycine
 10. Hyponatremia and coma due to Glycine toxicity
 11. Gas or Air embolism
 12. Organ Injury
 13. Bleeding
 14. Sepsis
 15. Hematometra

25.  Entry through Fimbria by laparoscopy

26.  Entry of cornual end by hysteroscopy

27. Thank You All