By Rafael F. Valle
Because the e-book of the 1st version, there were a couple of vital recommendations in hysteroscopy either in approach and gear layout. The across the world well known writer, a pioneer, researcher, and instructor of those options, has absolutely revised and up to date the textual content to mirror those advances. Now in complete colour, the publication studies the basics with a cohesive and unified philosophy that the writer has constructed over decades. This version includes intrauterine figures and an identical traits that made the 1st version a hit, resembling ease of examining, concise descriptions, and useful directions for the functionality of diagnostic and operative hysteroscopy.
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Extra info for Manual of Clinical Hysteroscopy, Second Edition
Pregnancy Hysteroscopy is contraindicated during pregnancy, as the possibility of infection or interruption of a wanted pregnancy far outweighs the value of intrauterine observation. Nonetheless, under special circumstances, such as removal of misplaced intrauterine devices in early pregnancy, visualization may be performed in selected patients, with the technique modified to decrease the chances of interrupting the pregnancy. It is important to weigh the benefits derived from hysteroscopy during early pregnancy against the potential of damaging or interrupting the pregnancy.
Contraception 1973;7:195 Valle RF. Hysteroscopic sterilization with the ESSURE system. In Sciarra JJ, ed. Gynecology and Obstetrics. Fertility Regulation, Psychosomatic problems, Infertility, Genetics, Vol. 6, Ch. 40. New York: Lippincott-Raven 2004:1–40 Sciarra JJ, Butler JC, Speidel JJ, eds. Hysteroscopic Sterilization. New York: Intercontinental Medical Book Corporation, 1974 Sciarra JJ, Valle RF. Hysteroscopy. A clinical experience with 320 patients. Am J Obstet Gynecol 1977;127:340 37 Valle Ch 04 29/9/04 1:03 pm Page 38 Valle Ch 05 29/9/04 1:04 pm Page 39 5 Possible complications of hysteroscopy type of perforation can be prevented by not advancing the endoscope unless a panoramic view is accomplished by adequate uterine distention.
Most of these substances, particularly glycine and sorbitol, are packaged in 3 liter plastic containers. If large-bore or urological tubing is used, and the bags are elevated above the patient to approximately 80 cm, then enough pressure is obtained to deliver these fluids by gravity alone, permitting adequate distention of the uterine cavity without the need for tourniquets or pumps. To obtain this effect, which is feasible with all resectoscopes, only hysteroscopes with continuous-flow systems are appropriate.