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Diagnostic Operative Hysteroscopy
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Hysteroscopy has revolutionized the field of Gynecology and the management of many gynecological conditions. It has now become a standard part of the gynecologic surgeons armamentarium. Cost, convenience, accuracy, and patient acceptability of these procedures are clearly superior to those of traditional surgeries. As gynecologists have grown better acquainted with the benefits and techniques of operative hysteroscopy, it has become the method of choice for treatment of intrauterine pathology.

The acceptance and practical application of hysteroscopy have come about only through a long and arduous struggle. Modern hysteroscopy represents a technological triumph that has built on the trail-and-error research of many scientists. Since then, the development of hysteroscopy has flourished. During the 1980s and 1990s, gynecology has shifted heavily towards endoscopy as specialty.

Hysteroscopy is generally a low risk technique that uses the endocervical canal, the natural passageway of the body, to gain entry into the uterine cavity. Refinement of optical and fiberoptic light instrumentation and of operative accessories allow high resolution and excellent visual documentation by hysteroscopy. Tremendous advances are still being made.22 Hysteroscopy in 21st century has finally found its niche, and every gynecologist is required to learn skills of hysteroscopy.

THE TECHNIQUE
The success of hysteroscopy depends on the choice of anesthesia, choice of distention media, the instrumentation, and the experience of the surgeon. As hysteroscopy has increasingly become the method of choice for treatment of intrauterine pathology, the number of complications has also risen. Most of these complications are caused by operator error and inexperience.
 
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