Hysteroscopy: Present and Potential Applications

Abstract

Previously bleeding prevented intrauterine endoscopy. Dextran solution now allows the uterine cavity to be distended without injury to the endometrial mucose. This permits inspection photography and some types of surgery. The potential for tubal sterilization is the motivation for this paper. Hysteroscopy may be performed as a diagnostic procedure under local anesthesia in the gynecologists office. Contraindications are acute pelvic inflammatory disease or recurrent chronic upper genital tract infection also recent uterine perforation or pregnancy. Hysteroscopy permits an accurate diagnosis of polyps and small submucus fibroids. Intrauterine adhesions may be diagnosis and with the aid of the laparoscope safely dissected. Of 110 cases so treated 1 perforation occurred during dissection. Bleeding can be located and controlled by cautery if necessary. Tissues may be obtained for histological examination. Transcervical tubel sterilization is the most important application anticipated. Data in this area are promising but remain to be amplified and confirmed.