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Hysteroscopy Newsletter is an opened forum to all professionals who want to contribute with their knowledge and even share their doubts with a word-wide gynecological community

Interview with… Elizabeth A. Stewart

Elisabeth stewart myomas

Myomas are much more complex and varied than we give them credit for. To me it is like the 19th century concept of cancer: cancer is cancer and there is no need to understand the type. Only when you understood differences in prognosis and pathophysiology did it make sense to differentiate a thyroid cancer from a lymphoma and an ER+PR+ breast cancer from a triple negative one. I think because we’ve relied too much on hysterectomy, we consider all fibroids the same. I think in the next decade we will understand better the molecular subtypes of myomas and our current way of making decisions will seem pretty primitive.

Read the full interview: http://www.hysteroscopy.info

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Hysteroscopy Book: State of the Art…

The book State of the Art: Hysteroscopic Approaches to Pathologies of the Genital Tract” offers a wide and renovated vision of the current state of hysteroscopy.

Highlighting novel chapters on chronic endometritis, the dysmorphic uteri and cervical pathology. A work published by Karl Storz that clearly and simply, discover the current state os the art in hysteroscopy. A must for both gynecologists in training, as well as for the fully trained gynecologist.

 

Hysteroscopy Comment: Dr. Alfonso Arias

For many years, hysteroscopy was only used for early diagnosis of endometrial adenocarcinoma, considering hysteroscopic surgery an absolute contraindication. Today, that vision has changed, and hysteroscopic resection is gaining popularity as an acceptable modality in the conservative treatment of focal endometrial adenocarcinoma in patients of reproductive age. It is similar to the evolution of endoscopic treatment of other types of gynecological cancer, as up no more tan one decade ago, endoscopic procedures were contraindicated in nearly all types of cancer. Such behavior is very different today.

In my opinion, this has happened due to 2 main reasons: First, the introduction of the Bettocchi hysteroscopic set that allowed the routine practice of in office hysteroscopy and second, the development of bipolar resectoscopes that allowed the young endoscopist, with less experience, perform hysteroscopic surgery making such procedures cleaner, faster and safer.

These two reasons have led to a higher number of gynecologists interested in learning and practicing these techniques, which has motivated the experts to do more teaching resulting in a rapidly increased of hysteroscopists worldwide.

But hysteroscopy needs to become more popular. Office hysteroscopy should be readily available in every gynecologic practice. Group practices should designate one or two member of the group to become “experts” in office hysteroscopy. Those of us who already have some decades in practice are always available to younger physicians for formal training.

 

Epidemiological evaluation of intrauterine adhesions (IUAs) after hysteroscopic surgery

Coordinator: Dr. S. Haimovich

Design: Dr. A. S. Laganá

Aim of the study: To evaluate the prevalence of intrauterine adhesions (IUAs) after hysteroscopic surgery.

Type of the study: Multicenter, cohort study.

Outcomes: The risk of IUAs after hysteroscopic surgery will be evaluated according to the different analyzed variables (age, BMI, parity, use of medical therapy for endometrial preparation and type of endouterine disease).

Contact: If you are interested in participate in this study, please contact with iua.study@gmail.com

 

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