Outpatient hysteroscopy

Keywords:

hysteroscopy, outpatient, office, see and treat, one stop, uterus


Published online: May 29 2019

R. Campo 1,2,3, F. Santangelo 4, S. Gordts 3, C. Di Cesare 5, H. Van Kerrebroeck 2, M.C. De Angelis 4, A. Di Spiezio Sardo 1,4

1 European Academy of Gynaecological Surgery, Diestsevest, 43, 3000 Leuven Belgium.
2 Department of Obstetrics and Gynecology, ZOL Hospitals, Schiepse Bos 6, 3600 Genk, Belgium;
3 Life Expert Centre, Schipvaart straat 4, 3000 Leuven Belgium;
4 Unit of Obstetrics and Gynecology, University of Federico II, Naples, Italy, 80131;
5 Catholic University of Sacred Heart, Department of Obstetrics and Gynecology , Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy.

Abstract

Modern hysteroscopy represents a copernical revolution for the diagnosis and treatment of uterine pathology. Traditionally hysteroscopy was performed in a conventional operation room under general anaesthesia (in-patient hysteroscopy). Recent advances in technology and techniques made hysteroscopy less painful and invasive allowing it to be performed in an ambulatory setting (outpatient hysteroscopy).

The so called “see & treat hysteroscopy”, has reduced the distinction between diagnostic and operative procedure, thus, introducing the concept of a single procedure in which the operative part is perfectly integrated within the
diagnostic work-up.

The “digital hysteroscopic clinic” (DHC) on the other hand combines ultrasound with hysteroscopy, ideal for a one stop diagnostic procedure and surgical approach, outlasting laparoscopy with ultrasound, for increased surgical performance in outpatient settings. The aim of this paper is to describe the “state of the art” in an outpatient hysteroscopy setting.