Intrauterine Surgical Procedures during Hysteroscopy

Abstract

A hysteroscopy technique is described which enables intrauterine and transcervical operative procedures to be carried out with ease and accuracy. The uterine cavity is expanded by a viscous solution of dextran which provides several advantages over other media. Techniques for resection of intrauterine adhesions and uterine septa are described and case reports are given. The apparent anti-adhesive properties of dextran would be considered an advantage in most operative procedures, possibly with the exception of transcervical electrocautery for tubal sterilization.