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Historical Aspects of Hysteroscopy

1973; Elsevier BV; Volume: 24; Issue: 3 Linguagem: Inglês

10.1016/s0015-0282(16)39559-0

1556-5653

Hans-Joachim Lindemann,

Gynecological conditions and treatments

Pantaleoni in 1869 introduced hysteroscopy as a method for the diagnosis of intrauterine disease. The first patient was a woman of 60 years whose bleeding resisted all therapy; the physician found polyplike growths. The bulk of the article treats the history of hysteroscopy from these early days to the present. The author feels past dissatisfactions with the various methods of hysteroscopy have been a result of their complicated methodologies. He describes his newly developed method and expresses the hope it will become widespread because of its simplicity. In his method the uterine cavity is filled with carbon dioxide gas resulting in the careful distension of the uterine cavity which normally shows as a flat cleft-shaped object. 80-100 ml/min of carbon dioxide gas with a pressure of about 200 mm Hg insufflated into the cavity and penetrating both tubes and a viewing period of 5 minutes gave the best visibility. A hysteroscope adapter fixing itself automatically by vacuum to the cervix and at the same time sealing the portio by a self-retaining vacuum cannula was developed to prevent the escape of carbon dioxide.