P. Brandner et Kj. Neis, POSSIBILITIES AND LIMITS OF OPERATIVE HYSTEROSCOPY - AN UPDATE ON TRANSCERVICAL RESECTOSCOPIC UTERINE SURGERY, International surgery, 81(3), 1996, pp. 259-265
In infertility therapy operative hysteroscopy by means of high-frequen
cy surgery has replaced laparotomy in many cases, Thus today the thera
py of intrauterine synechias, septa and myoma is a major sector in hys
teroscopic metroplasty. Uterine haemorrhage is another area of indicat
ions for transcervical high-frequency surgery, In menstrual disorders
caused by polyps, submucous myoma or without any anatomic reason trans
cervical electrosurgery helps to avoid more and more hysterectomies, T
he increasing importance of this method becomes obvious in the 1991-AA
GL-Survey according to which within three years the number of operativ
e hysteroscopies has risen to 17,298, thus doubled within this period
of time, The present article based on literature and personal experien
ce gives an overview of technical equipment available, complications,
operative technics and risks, Furthermore, the frequency of success an
d complications of transcervical resectoscopic surgery are also discus
sed.