| Abbreviations | 10 |
|---|
| Contents | 8 |
|---|
| 1 Introduction | 12 |
|---|
| 2 Indications for operative hysteroscopy | 13 |
|---|
| 3 Instrumentation and technical equipment | 14 |
|---|
| 4 Positioning, preparation of surgery and ergonomics | 30 |
|---|
| 5 Technique and procedure of operative hysteroscopy | 33 |
|---|
| 6 Staff requirements | 34 |
|---|
| 7 Surgical interventions | 35 |
|---|
| 7.1 Septum dissection | 35 |
| 7.2 Intrauterine adhesiolysis | 50 |
| 7.3 Myoma resection | 60 |
| 7.4 Polyp resection | 73 |
| 7.5 Endometrial ablation/-resection | 75 |
| 7.6 Alternative techniques of endometrial ablation | 105 |
| 7.7 Special features of the bipolar surgical technique | 114 |
| 8 General complications of operative hysteroscopy: management and prevention | 120 |
|---|
| 8.1 Perforation | 120 |
| 8.2 Intra- and postoperative bleedings | 123 |
| 8.3 Infections | 124 |
| 8.4 TUR-syndrome (Transurethral resection syndrome) | 125 |
| 8.5 Burns | 129 |
| 8.6 Air embolism | 130 |
| 8.7 Frequency of complications | 133 |
| 9 Special clinical cases | 134 |
|---|
| 9.1 Hysteroscopic surgery of a hemihaematometra | 134 |
| 9.2 Hysteroscopic resection of large residual placenta | 136 |
| 9.3 Myoma resection of a leiomyosarcoma | 138 |
| 10 Summary | 140 |
|---|
| 11 Further reading | 142 |
|---|
| 12 Index | 144 |