Minihysteroresectoscopy for optimizing transcervical methods for treating intrauterine pathologies

Abstract

The uterine factor ranks third among the causes of infertility, accounting for 10–15% and increasing to 50% when combined with other factors. Currently, the introduction of new technologies into medical practice allows the doctor to choose various methods of surgical treatment of intrauterine pathology [endometrial polyp, uterine fibroids with a submucosal location of the G0–G1 node (International Federation of Gynecology and Obstetrics, FIGO), intrauterine adhesions, and congenital malformations of the uterus], including those without anesthetic support. Modern innovations in hysteroscopic surgery have radically changed the way intrauterine pathologies are treated, thanks to the emergence of the “see-and-treat” philosophy and the universal trend toward the miniaturization of office surgical tools and high-resolution optical systems without compromising their functional characteristics. However, many aspects of hysteroresectoscopy in an outpatient setting, namely, its optimal range of applications, advantages and disadvantages in diagnostics and treatment of intrauterine pathologies, and economic components, are not sufficiently covered. This literature review discussed the most current data on the technique and possibilities of using a mini-hysteroresectoscope in outpatient surgical hysteroscopy.