A color atlas of hysteroscopy
In America and Europe, carbon dioxide has been widely used as the distention medium in hysteroscopy, in contrast to the widespread use of liquid hysteroscopy in Japan. There are merits and demerits for both media, but the author prefers liquid hysteroscopy because of reduced leakage into the abdominal cavity, reduced glare, and improved debris removal. Although TV images captured with a flexible endoscope are employed for routine work, the author insists on using a single-lens reflex camera with a rigid endoscope for producing wonderfully clear photographs. Having carried out between 400 and 550 examinations a year for the last 20 years, the author has built up an impressive library of quintessential diagnostic images. Over 200 of these photographs are reproduced in color in this atlas to provide a visual guide to uterine abnormalities of unparalleled breadth and clarity.
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Aim and Significance of Hysteroscopy
Indications and Contraindications
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abnormal bleeding Abnormal uterine bleeding abortion adenocarcinoma adenomatous adenocarcinoma adenomatous hyperplasia adenomyosis amenorrhea appear atrophic endometrium atypical vessels biopsy blood vessels cancer cervical canal cervical dilatation chronic endometritis color colposcopy cycle cystic gland danazol dilated glandular openings distend dometrium Dysmenorrhea ectopic pregnancy endocervix endometrial carcinoma endometrial hyperplasia endometrial lining endometrial polyp endometrium endometrium Fig endoscope focal hyperplasia Histology Hydatidiform mole hysterogram hysteroscopic diagnosis hysteroscopic examination hysteroscopy internal Intracervical carcinoma intrauterine abnormalities intrauterine adhesions Irregular shedding irrigation lesions malignancy medication menopause menorrhagia menstruation midcycle molar mucosa necrotic Nodular carcinoma outer sleeve papillomatous carcinoma patient underwent pattern pedicle Polypous hyperplasia Postmenopausal bleeding Postmenopausal spotting proliferative Prolonged menstruation protrusion pyometra rinsing fluid saline senile shows sloughed stromal sarcoma subepithelial vessels surrounding endometrium tentacle-like projections therapy thick tissue translucent tubal pregnancy tumor typical polyp ulceration uneven Uterine adenomyosis uterine cavity uterine wall uterus vascular network visual control whitish Wish for childbearing