POSSIBILITIES AND LIMITS OF OPERATIVE HYSTEROSCOPY - AN UPDATE ON TRANSCERVICAL RESECTOSCOPIC UTERINE SURGERY

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.