J.Jpn. Surg. Soc.. 101(8): 561-567, 2000

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Feature topic

ENDOSCOPIC SURGERY IN OBSTETRICS AND GYNECOLOGY

There are three types of endoscopic surgery in obstetrics and gynecolgy : laparoscopy ; hysteroscopy ; and salpingoscopy. The main indications for laparoscopic surgery are myoma uteri, ovarian tumors, ectopic pregnancy, infertility, and endometriosis. Curremtly the indications are limited to benign disease. The main indications for hysteroscopic surgery are submucous myoma uteri, uterine anormalies, and Asherman syndrome. During hysteroscopy the uterine cavity is dilated with liquid and then a resectoscope or hysterofiberscope is used. Salpingoscopy is useful in examining the tubal cavity and a potent tool for tubal recanalization. Endoscopic surgical techniques will develop rapidly in the near future to serve the various needs of female patlennts.

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