Hysteroscopy Newsletter Vol 2 Issue 2 (original) (raw)

1 he main capacity of hysteroscopy is the diagnosis of intrauterine diseases, however, there is a growing potential therapeutic approach. This is demonstrated since the first description of the method, when Pantaleoni in 1869 introduced a tube 12 mm in diameter into the uterine cavity of a woman of 60 years, with uterine bleeding and endometrial polyps detected. At the same act, he made cauterization with silver nitrate for hemostasis. Currently, hysteroscopy evolved with video system expanding the vision; smaller diameter instrumental and operative channel and through liquid distension. although, the biggest development was in relation to the technical procedure, because growing professional experience, with courses and training, promoting technical improvement and increasing the number of professionals with similar technical quality, brings the concept of see and treat. Today, hysteroscopy expanded the diagnostic possibility in cases of abnormal uterine bleeding, allowing the cleaning of the uterine cavity with fluid distension medium. The dynamic hysteroscopy, changing the intrauterine pressure, allows to lower pressures making possible the suspicion of intramural disorders such as fibroids "weighing" in cavity and adenomyosis, as well as the assessment of the uterine cavity distension capacity in cases of uterine malformations. The direct biopsy technique, which is taken under viewing the most significant lesion area and can be repeated several times in the same procedure as well as the possibility of endometrial biopsy, to drag the open forcep and withdrawing only seizing materials the cloth. The surgical technique was expanded, walking through using resectoscope with energy, mono or bipolar, or the use of grasping and scissors, allowing you to access the base of the lesion for its complete withdrawal. Large development also occurred in the treatment of diseases at the time of diagnosis, see and treat, as it can perform, polypectomy, Myomectomies, lysis of adhesions, septoplasty and removal of foreign bodies at the time of diagnosis. Thus, hysteroscopy reached a great brand, it has low cost because it is an outpatient procedure, with great diagnostic capacity and enormous potential for treatment in the same act, this all combined with easy extension of this knowledge with courses, training and adequate scientific information as the Hysteroscopy Newsletter.