Main description:

This is a practical 'how-to' guide to hysteroscopy that covers all aspects of providing a comprehensive diagnostic and treatment service. The authors provide a pragmatic overview of all aspects of hysteroscopy. Part 1 covers the establishment of a service, the choice of instrumentation, the roles of ancillary staff, and general techniques. Part 2 covers operative procedures and Part 3 the practical aspects of setting up and maintaining a service in

Contents:

From the contents: I. Diagnostic Tests and Techniques: Diagnostic outpatient hysteroscopy service.- Outline.- Hysteroscopes and sheaths.- Set up.- The nurse's role.- Techniques.- Distension media.- The self-retaining office hysteroscope.- Indications, contraindications and complications.- Pre-IVF hysteroscopic evaluation.- Sonography and sonohysterography .- Saline infusion sonography.- Anatomy of the endometrium.- Endometrial receptors.- Intrauterine pathology.- Endometrial cell transportation.- II. Operative Procedures: Eye-guided biopsies (EGB) .- Endometrial cytology and sampling.- A pathologist's point of view.- Liquid distension media.- Bipolar energy.- Mechanical instruments.- Indications and limitations.- Sterilization.- Anesthesia.- III. Practical Aspects: Instruments: Europe.- USA.- Office hysteroscopy: reimbursement.- Evidence-based comparisons of the different diagnostic techniques to approach the cervix and the uterine cavity.- Learning, training, proctoring, and credentialing.- Training and accreditation: USA.- Europe.- Australia.- The Far East.- An overview.- Training and accreditation: Record-keeping, documentation, and registry.- Photo and video archiving for endoscopy.- IV. The Office and Outpatient Team: The Nurse's perspective.- Patients' compliance with small diameter scope size.- Counseling patients.- V. Epilogue.