ABSTRACT

Hysteroscopy and resectoscopy require the use of specialized endoscopic instruments that differ from the endoscopic instruments used for laparoscopy, urology, gastroenterology, etc. Instruments that are common to hysteroscopy and resectoscopy include the endoscope (hysteroscope), light source, distention media and irrigation systems, electrosurgical devices and video camera systems. Unique to resectoscopy is the resectoscope and its electrodes. Knowledge of and experience with the basic techniques and instrumentation of diagnostic and operative hysteroscopy are prerequisite to safe and successful resectoscopy. Endometrial ablation can now be performed using not only the resectoscope, but also with hysteroscopy, or by specific devices that ablate the endometrial tissue by use of bipolar radiofrequency energy, heat or extreme cold.