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Advanced Hysteroscopic Technology for Gynecological Disease
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Advanced Hysteroscopic Technology for Gynecological Disease

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 17 September 2025 | Viewed by 507

Special Issue Editors

Dr. Guglielmo Stabile

E-Mail Website
Guest Editor
Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, 71121 Foggia, Italy
Interests: hysteroscopy; laparoscopy; endometriosis; oncology; leiomyomas
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Luigi Nappi

E-Mail Website
Guest Editor
Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, 71121 Foggia, Italy
Interests: hysteroscopy; laparoscopy; endometriosis; oncology; leiomyomas
Special Issues, Collections and Topics in MDPI journals
Dr. Felice Sorrentino

E-Mail Website
Guest Editor
Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, 71122 Foggia, FG, Italy
Interests: gynecological surgery; hysteroscopy; laparoscopy; endometriosis; gynecological oncology; urogynecology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The progress seen in hysteroscopy in the gynecology field is remarkable. More and more pathologies can be diagnosed and treated with the use of hysteroscopy. Furthermore, the instrumental advancement and the improvement of its effectiveness have made hysteroscopy a fundamental tool for treating the majority of endometrial and uterine pathologies.

For this reason, with this Special Issue, we want to focus on the recent development of hysteroscopy in the technological fields and also in the diagnostics and therapeutic management of different uterine pathologies (endometrial pathologies, leiomyomas, isthmocele, uterine septum, ectopic pregnancies, oncological pathologies, endocervical pathologies).

Invited topics are:

  1. New technologies in hysteroscopy.
  2. Advances in the diagnosis of uterine pathologies.
  3. Advances in the treatment of uterine pathologies.
  4. Outcomes after hysteroscopic surgery.
  5. New preoperative therapies.
  6. New methods for pain reduction during outpatient hysteroscopy.
  7. New diagnostic and prognostic biomarkers following endometrial biopsy.

Dr. Guglielmo Stabile
Prof. Dr. Luigi Nappi
Dr. Felice Sorrentino
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hysteroscopy
  • new technology
  • therapy
  • mini-invasive approach
  • laser
  • diagnosis
  • outcomes

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Published Papers (1 paper)

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Research

14 pages, 490 KiB  
Article
Assessment of Pain Complaints and Perioperative and Delayed Complications of Hysteroscopy Performed Under Local Anesthesia—A Retrospective Analysis
by Agnieszka Lach, Maciej Wilczak, Adam Malinger, Adrian Nowak, Piotr Piekarski, Adrian Mruczyński, Kinga Bednarek and Karolina Chmaj-Wierzchowska
J. Clin. Med. 2025, 14(16), 5646; https://doi.org/10.3390/jcm14165646 - 9 Aug 2025
Viewed by 305
Abstract
Modern, small-diameter endoscopic instruments, such as resectoscopes (e.g., the GUBBINI System) and mini-hysteroscopes, are widely used in clinical practice. These tools allow endoscopic procedures to be conducted without cervical dilation, often in an outpatient setting, and under local anesthesia alone. Background/Objectives: The [...] Read more.
Modern, small-diameter endoscopic instruments, such as resectoscopes (e.g., the GUBBINI System) and mini-hysteroscopes, are widely used in clinical practice. These tools allow endoscopic procedures to be conducted without cervical dilation, often in an outpatient setting, and under local anesthesia alone. Background/Objectives: The present retrospective study aimed to analyze the perioperative and delayed complications of hysteroscopy performed under local anesthesia. This study also assessed the pain experienced during hysteroscopy under local anesthesia, depending on the type of procedure performed. Methods: A retrospective analysis was conducted in 1945 patients who underwent hysteroscopy under local anesthesia at the Center for Hysteroscopy, Heliodor Święcicki Gynecological and Obstetrical Clinical Hospital, Karol Marcinkowski Medical University, Poznań, Poland, between January 2021 and December 2023. Hysteroscopic procedures were performed with the GUBBINI Mini Hystero-Resectoscope through a paracervical block using lignocaine. Results: The procedure was discontinued in 46 patients, accounting for 2.36% of all hysteroscopies. The most common reasons for procedure discontinuation were severe pain and uterine perforation, accounting for 52.8% and 13% of discontinued procedures, respectively. The complication rates were low: uterine perforation occurred in 0.3% of cases (n = 6), and late complications requiring readmission occurred in 0.2% (n = 3). The average pain intensity score for all the patients was 2 points (2.8 ± 2.14). Conclusions: Our study confirmed that hysteroscopy performed under local anesthesia is a safe and effective diagnostic and therapeutic method for selected uterine pathologies, noting increased risks in cases such as extensive intrauterine adhesions. The low complication rates in both the perioperative and postoperative stages indicate the high safety profile of this procedure, particularly when performed by experienced personnel using standardized, validated protocols. Full article
(This article belongs to the Special Issue Advanced Hysteroscopic Technology for Gynecological Disease)
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