Surgical Techniques

A vaginoscopic approach to diagnostic hysteroscopy

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In this video, diffuse complex endometrial hyperplasia is identified using a vaginoscopic approach with a 1.9-mm diagnostic rigid hysteroscope. The posterior fornix of the vagina is filled with saline until the cervix is elevated with the fluid and the cervical os is identified. The cervical canal is entered and gentle rotational movement and hydrodistension allows the canal to be traversed into the uterine cavity.

Video provided by Amy L. Garcia, MD

Vidyard Video

Read Dr. Garcia’s “Update on minimally invasive gynecology” (April 2015)

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