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See and treat hysteroscopy. Future challenges and new prospective


Obstetrics & Gynecology International Journal
Sofoudis Chrisostomos,1 Grozou Fani,2 Tsonis Orestis,3 Paschopoulos Minas2

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Abstract

Rapid development of technology, which has been achieved over the last decade, has helpeddecisively in the investigation and treatment planning of pathological conditions in the fieldof endoscopy and more specifically of hysteroscopic gynecological procedure.
Through endless efforts in the wider medical field, hysteroscopic access of the endocervixand at the same time of the endometrial cavity was established both on a diagnostic andinvasive level as an integral tool of gynecological surgery, revealing great sensitivity butalso great specificity.
Hysteroscopic intervention provides the possibility of direct visual imaging of endocervixand endometrial cavity and directly optically guided biopsies for histological confirmation.
Globally, performance of hysteroscopy at the level of an outpatient clinic (officehysteroscopy) has a success rate of 98% and is considered a more valid method comparedto diagnostic curettage.
Design of increasingly flexible and smaller diameter endoscopic tools achieved thepossibility of reviewing the endometrial cavity at the level of an outpatient office (officehysteroscopy), without analgesia.
A study included cases of patients in whom both diagnostic and therapeutic approach wereperformed. Our study is focused on specific cases involving hysteroscopic proceduresperformed at the level of an outpatient clinic as part of an initial diagnostic examination andconcurrently as part of an invasive treatment result.
As culmination of all above was established hysteroscopic diagnosis and treatment in onesession. (See and Treat Hysteroscopy). The aforementioned led to the development ofhysteroscopic diagnosis and treatment in the context of See and Treat Hysteroscopy.

Keywords

see and treat hysteroscopy, no touch technique, polyp, myoma

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