Uterine endoscopy, endometroscopy with the aid of uterine insufflation

摘要: Abstract Forty-two patients were examined with the hysteroscope. Thirty-five cases so in office; six hospital. The latter requiring some operation and hysteroscopy was done as a preliminary procedure. Of thirty-five office examination unsuccessful two because of cervical stenosis. Both these sterile. One patient intolerant to examination. Local anesthesia employed one hospital patient; scopolamine-morphine another. In three repeated once. four cases, bleeding due introduction hysteroscope interfered satisfactory vision. No further attempt made inspeet uterine cavity. As No. 22 French gauge uteroscope used them, might prove disturbing much smaller percentage by using 15 caliber instrument. It felt that, essential factor inflation, it best not continue when any appreciable degree present. Insufflation for tubal patency test twelve syringe twenty-nine cases. rubber bulb substituted control found be less practical. With gas flowing at uniform rate pressure noted carlier 20 c.c. applicable convenient has been adopted routine. instances amount sufficient induce subphrenic pneumoperitoneum associated shoulder pains. These slight lasted few minutes carbon dioxide used. five water irrigation under negative part technic. abandoned its futility. Inflation nonbleeding uterus proved medium distention vision regular procedure hysteroscopy. modified McCarthy type cystourethroscope all adapted endoscopy. Contraindications.—It goes without saying that uteroscopy will an ambulatory acute or subacute inflammations pelvis. Where may deemed desirable from diagnostic point view examine endoscopically such there can no objection doing patients. is, however, absolutely forbidden presence inflammation. certain dysmenorrhea so-called obstructive type, endoscopy helpful noting behavior internal os functionally, obstructing folds mucosa same point, ball valve-like polypi causing mechanical obstruction escape menstrual flow pathologic bleeding. diagnosis cause genital bleeding, endometroscopy have almost routine value since reveal lesions glandular hyperplasia endometrium, polypi, retained products gestation (chorioepithelioma carcinoma). excising endoscope special this field. Under direct portion diseased endometrium removed diagnosis. very small lesion perhaps totally way. possible too, introduce fulguration comparable vesical lesions. case fibroids, also definite modern competitive treatment x-ray, radium, surgical removal. is only simple means our disposal determine definitely submucous myoma alone amidst multiple fibromyomata given uterus. All other factors being equal general agreement on opinion favor removal known myoma. endometroscope affords studying cyclical changes phases menstruation. Heineberg4 had suggested “that macroscopic occurring during menstruation observed favorable cases”. limited number carly pregnancy where therapeutic purposes interference contemplated, study carliest stages ovum implantation, etc., specimens thus obtained otherwise would unavailable. Not method observing but pieces specific areas surface study. check up Hitschmann Adler's studies accurate excision which traumatic than curettage.