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Medicina
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Current Status of Hysteroscopy in Gynecologic Practice
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Current Status of Hysteroscopy in Gynecologic Practice

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: closed (10 September 2022) | Viewed by 14164

Special Issue Editor

Prof. Dr. Sergio Haimovich

E-Mail Website
Guest Editor
Director of the Gynecology Department, Laniado University Hospital, Netanya, Israel
Interests: hysteroscopy; intrauterine surgery; embryoscopy; submucous myomectomy; diode laser in intrauterine surgery

Special Issue Information

Dear Colleagues,

During the last decade, hysteroscopy as we knew it has been changing. In the past, we had diagnostic hysteroscopy that could be in office without anesthesia and surgical procedures in the OR under anesthesia. The game changer was the introduction of the “see and treat” approach at the end of the last century. Since then, we have witnessed an increased development in surgical techniques, new energies, and new devices. All these developments, most of which have been for office settings, allow us to treat more complex pathologies outside the OR. Thanks to international cooperation, even a common terminology for all hysteroscopy procedures was developed by GCH, AAGL, and ESGE. We believe that there is a need for an update in hysteroscopy, and the intention of this publication is to obtain an insight into the “Current Status of Hysteroscopy in Gynecologic Practice”, and specifically on topics such the intrauterine surgery of endometrial cancer or innovations in the approach to submucous myoma surgery.

Prof. Dr. Sergio Haimovich
Guest Editor

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. Medicina is an international peer-reviewed open access monthly 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 1800 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
  • intrauterine surgery
  • office hysteroscopy
  • endometrial adenocarcinoma
  • submucous myoma

Published Papers (3 papers)

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Review

20 pages, 4952 KiB  
Review
HYSTEROSCOPIC MYOMECTOMY
by Ricardo Bassil Lasmar, Bernardo Portugal Lasmar and Nash S. Moawad
Medicina 2022, 58(11), 1627; https://doi.org/10.3390/medicina58111627 - 11 Nov 2022
Cited by 12 | Viewed by 5346
Abstract
Leiomyomas are the most common pelvic tumors. Submucosal fibroids are a common cause of abnormal bleeding and infertility. Hysteroscopic myomectomy is the definitive management of symptomatic submucosal fibroids, with high efficacy and safety. Several techniques have been introduced over time and will be [...] Read more.
Leiomyomas are the most common pelvic tumors. Submucosal fibroids are a common cause of abnormal bleeding and infertility. Hysteroscopic myomectomy is the definitive management of symptomatic submucosal fibroids, with high efficacy and safety. Several techniques have been introduced over time and will be covered in depth in this manuscript. Advances in optics, fluid management, electrosurgery, smaller diameter scopes, and tissue removal systems, along with improved training have contributed to improving the safety and efficiency of hysteroscopic myomectomy. Full article
(This article belongs to the Special Issue Current Status of Hysteroscopy in Gynecologic Practice)
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7 pages, 906 KiB  
Review
Vasovagal Syncope during Office Hysteroscopy—A Frequently Overlooked Unpleasant Complication
by Suset Rodriguez, Sergio Haimovich, Salvatore Giovanni Vitale, Luis Alonso and Jose Carugno
Medicina 2022, 58(11), 1626; https://doi.org/10.3390/medicina58111626 - 11 Nov 2022
Viewed by 4590
Abstract
Due to technological advancements in miniaturization of instruments and improved optics, the number of office hysteroscopic procedures has increased over time. Office hysteroscopy is preferred due to avoidance of general anesthesia and decreased overall cost. Vasovagal syncope has been implied as the most [...] Read more.
Due to technological advancements in miniaturization of instruments and improved optics, the number of office hysteroscopic procedures has increased over time. Office hysteroscopy is preferred due to avoidance of general anesthesia and decreased overall cost. Vasovagal syncope has been implied as the most common complication. Vasovagal syncope is associated with inappropriate reflex vasodilation and bradycardia in the setting of an acute malfunction between the autonomic nervous system and the cardiovascular system; however, there is no mortality associated with vasovagal syncope. A management strategy for acute vasovagal reflex during office hysteroscopy is proposed in order to manage this common complication. Full article
(This article belongs to the Special Issue Current Status of Hysteroscopy in Gynecologic Practice)
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14 pages, 655 KiB  
Review
Pain Management during Office Hysteroscopy: An Evidence-Based Approach
by Giovanni Buzzaccarini, Luis Alonso Pacheco, Amerigo Vitagliano, Sergio Haimovich, Vito Chiantera, Péter Török, Salvatore Giovanni Vitale, Antonio Simone Laganà and Jose Carugno
Medicina 2022, 58(8), 1132; https://doi.org/10.3390/medicina58081132 - 20 Aug 2022
Cited by 16 | Viewed by 3767
Abstract
Background and Objectives: Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anesthesia has been requesting validation of practical approach in order to [...] Read more.
Background and Objectives: Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anesthesia has been requesting validation of practical approach in order to reduce procedure-related pain. In this regard, we performed a comprehensive review of literature regarding pain management in office hysteroscopic procedures. Materials and Methods: MEDLINE, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register), Global Health, Health Technology Assessment Database and Web of Science, other research registers (for example Clinical Trials database) were searched. We searched for all original articles regarding pain relief strategy during office hysteroscopy, without date restriction. Results have been collected and recommendations have been summarized according to the Appraisal of Guidelines for Research and Evaluation (AGREE) tool. Moreover, the strength of each recommendation was scored following the Grading of Recommendations Assessment (GRADE) system, in order to present the best available evidence. Results: Both pharmacological and non-pharmacological strategies for pain management are feasible and can be applied in office setting for hysteroscopic procedures. The selection of strategy should be modulated according to the characteristics of the patient and difficulty of the procedure. Conclusions: Accumulating evidence support the use of pharmacological and other pharmacological-free strategies for reducing pain during office hysteroscopy. Nevertheless, future research priorities should aim to identify the recommended approach (or combined approaches) according to the characteristics of the patient and difficulty of the procedure. Full article
(This article belongs to the Special Issue Current Status of Hysteroscopy in Gynecologic Practice)
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