USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

HYSTEROSCOPY


Hysteroscopy is a minor outpatient surgical procedure performed in the
operating room under either local-intravenous or general anesthesia for diagnosis
and possibly for therapy.


Figure II-1-5. Hysteroscopy

A   fiberoptic  scope   is  placed  through a   previously  dilated cervix  to  directly
visualize the endometrial cavity. A clear fluid is infused through side ports of
the scope to distend the uterine cavity, allowing visualization.
Other side ports of the hysteroscope can be used in placing instruments to
biopsy lesions or to resect submucous leiomyomas, polyps, or uterine septa.
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