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History

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bozzini.jpgThe history of endoscopy really begins in the early years of the 19th century. Philip Bozzoni, 1805, invented an instrument that conducted light within the hidden cavities of the body. He used his device to inspect the nasal cavity, vagina and the rectum (Van der Pas, 1983).
    Credit for performing the first visualisation of the interior of the uterus is generally given to Panteleoni, 1869, who used the cystoscope described by Desormeaux to visualise and cautarize with silver nitrate a polypoidal endometrial growth of a 60 year old woman with intractable uterine bleeding (Seigler, 1984).

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Hysteroscopy

Hysteroscopy. Doctors may perform a procedure called hysteroscopy to diagnose and treat uterine polyps. In a hysteroscopy, your doctor inserts a thin, flexible, lighted telescope (hysteroscope) through your vagina and cervix into your uterus. Hysteroscopy allows your doctor to examine the inside of your uterus and remove any polyps that are found. This eliminates the need for a follow-up procedure.

A thin, lighted telescope (hysteroscope) allows the doctor to view your uterine cavity.

osama shawkiProf. Dr Osama Shawki, M.D.
Department of Gynecology, Cairo university
Editor, European journal of Gynecologic Surgery
Faculty Professor, Giessen school of endoscopy, Germany
Board member, International Society Gynecologic Endoscopy (ISGE)
Director of Ebtesama center for advanced endoscopic surgery
Director of H.A.R.T , Hysteroscopy Academy for Research and Training.
Shawki in ISGE
Patient's poem about Hysteroscopy - Arabic

 

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IUA

Tuesday, 18 August 2009 21:10 administrator
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In order to outline the prognosis and results of the treatment, a classification of intrauterine adhesions is most useful. There are many classifications based on histology, hysterography, symptomatology and hysteroscopy. The important factor that seem to correlate with the final outcome are the extent of uterine cavity occlusion and the type and severity of adhesions involved.

 

Last Updated ( Saturday, 29 August 2009 10:57 ) Read more...  

Hysteroscopy In Infertile Patients

Tuesday, 18 August 2009 21:13 administrator
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Hysteroscopy is becomig an increasingly important tool in the evaluation of the infertile patient (Valle & Sciarra,1979). Hysteroscopy in the evaluation of infertility patients has revealed uterine abnormalities at reported rates that vary from 19-62% (Lindemann,1971). The clinical significance of these findings remains to be completely evaluated, but relevant intrauterine conditions and their impact on infertility are known. (Dunn,1994).

Last Updated ( Saturday, 29 August 2009 05:54 ) Read more...
 

Hysteroscopy vs HSG in IUA

Tuesday, 18 August 2009 20:01 administrator
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Will hysteroscopy replace HSG in diagnosis of IUA? Since the renewed interest in hysteroscopy, the question has been commonly asked. For a long time hysterography was the only feasible method to visualise the uterine cavity and a high degree of refinement was attained in the interpretation of the hysterogram.( Barbot ,1989)

   

Last Updated ( Saturday, 29 August 2009 05:59 ) Read more...
 

Hysteroscopic appearance of the uterine cavity:

Tuesday, 18 August 2009 21:17 administrator
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The cavity is seen in a length wise direction and the proportions are no longer maintained, the foreground being enlarged compared with the background. The distortion is dramatically increased by the optical instrument. If this situation is advantageous for the study of small details, a mental correction is always necessary to restore the true size, extent of each structure relative to the other.(Barbot,1989).

Last Updated ( Saturday, 29 August 2009 05:56 ) Read more...
 

Hysteroscopic Insrumentation

Tuesday, 18 August 2009 19:43 administrator
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The instruments needed for hysteroscopy depend on the hysteroscopic technique to be used.

 

Accordingly they can be divided into:

  • contact and panoramic hysteroscopy.
  • Flexible and rigid hysteroscopy.

 

Last Updated ( Saturday, 29 August 2009 06:01 ) Read more...
 


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