Reports in Gynecological Surgery最新文献

The Use of Vaginoscopy in Cases of Distorted Pelvic Anatomy 阴道镜检查在骨盆畸形解剖中的应用

Reports in Gynecological Surgery Pub Date : 2022-04-21 DOI: 10.36959/909/472

Swartz Sarah, Kaur Meher, Tjaden Anne, Yang Linda C

{"title":"The Use of Vaginoscopy in Cases of Distorted Pelvic Anatomy","authors":"Swartz Sarah, Kaur Meher, Tjaden Anne, Yang Linda C","doi":"10.36959/909/472","DOIUrl":"https://doi.org/10.36959/909/472","url":null,"abstract":"Vaginoscopy is a minimally invasive surgical approach that uses a camera to visualize the female genital tract in both the inpatient and outpatient setting. Previously referred to as the “no touch” technique of hysteroscopy, vaginoscopy allows for visualization of the vagina in addition to the cervix and uterus without routine use of other instrumentation, such as a vaginal speculum and cervical tenaculum. Advantages of vaginoscopy over traditional hysteroscopy include decreased pain and higher rates of success. Thus, routine use of vaginoscopy in outpatient hysteroscopy has been endorsed by AAGL (formerly known as the American Association of Gynecologic Laparoscopists) and the American College of Obstetricians and Gynecologists (ACOG). It is also considered to be the standard technique for diagnostic hysteroscopy in France. However, the role of vaginoscopy in difficult cases of distorted pelvic anatomy is less recognized. Distorted anatomy of the female reproductive tractmay limit evaluation of the vagina, cervix, and endometrial cavity and pose unique difficulties for traditional hysteroscopy. This case series highlights the use of vaginoscopy to overcome anatomic and technique challenges by discussing four different clinical scenarios in which a vaginoscopic approach may be advantageous. These cases include an obese patient with a malpositioned intrauterine device, a postmenopausal patient with a stenotic cervix, a patient","PeriodicalId":249629,"journal":{"name":"Reports in Gynecological Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132179884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}