Optimizing Operative Hysteroscopy in the Office Setting: Updated Techniques and Technology

Hysteroscopic Resection of Uterine Septum: An Updated Approach

This softcover, nicely illustrated text follows a logical path for anyone interested in office or operative hysteroscopy. For the new hysteroscopist the book is an excellent primer, covering instrumentation and basic concepts necessary to evaluate the uterine cavity safely and completely. Few gynecologists approach the treatment of dysfunctional uterine bleeding, menorrhagia, or amennorhea without a thorough intrauterine evaluation. This evaluation can be performed easily in the office or outpatient setting using techniques described in the text. The authors have painstakingly broken down every aspect of hysteroscopy, including anesthesia, sterilization techniques, distention media, and fluid pumps. Basic hysteroscopic techniques are described in detail, as are more sophisticated surgical procedures. The book will be of interest to gynecologists of all skill levels. For beginners, it outlines a safe and thorough path to follow. More advanced hysteroscopist will find chapters on uterine synechiae, endometrial resection, and management of myomas to be totally comprehensive. Nicely labeled color plates of intrauterine pathology appear throughout the book. As one reads the text it becomes obvious that the authors have a bias toward flexible hysteroscopic instrumentation. There is an extensive discussion about the science and properties of optics, together with a description of numerous instruments that can be used through the operating channel of the scope. A chapter is devoted to directed endometrial sampling and cytology as an alternative to blind endometrial biopsy. Many data presented in the text were generated by the authors and are a testament to their extensive experience in the field. Some attention is paid to falloposcopy and IUD removal, but clear emphasis is on office and operative procedures. The last five chapters cover prevention and treatment of hysteroscopic complications. Potential dangers associated with uterine perforation, fluid overload, and air emboli are extensively discussed and management plans are described. The book is a welcome addition to the hysteroscopic literature.