Video of Hysteroscopic Instruments Demonstration: Understanding the Tools for Safe Intrauterine Procedures
In this comprehensive video titled "Hysteroscopic Instruments Demonstration: Understanding the Tools for Safe Intrauterine Procedures," we take you inside the operating room to explore the key instruments used in diagnostic and operative hysteroscopy. Mastery of these instruments is essential for any gynecologist performing procedures such as polypectomy, adhesiolysis, septal resection, or targeted endometrial biopsy. This step-by-step demonstration is designed to enhance your familiarity with the equipment and improve safety, efficiency, and outcomes in office and OR-based hysteroscopic procedures.
Essential Instruments Featured in the Video
Hysteroscope (Telescope):
The video begins with an overview of the rigid 2.9 mm and 4 mm hysteroscopes used for clear visualization of the uterine cavity. We demonstrate proper handling, connection to the camera system, and adjustment of focus and light intensity.
Outer Sheath with Inflow and Outflow Channels:
The hysteroscope is inserted through a dedicated sheath that facilitates continuous uterine distension using normal saline or glycine, depending on the energy system used (bipolar vs. monopolar). The demonstration shows how to connect tubing, regulate pressure, and maintain a clear view throughout the procedure.
Obturator:
Used to guide initial entry, especially in narrow or stenotic cervical canals, the obturator is inserted along with the sheath and removed once the hysteroscope is safely inside the uterine cavity.
Operative Instruments:
We showcase the use of various miniaturized tools introduced through the working channel of the operative sheath, including:
Graspers: For polyp or foreign body retrieval
Scissors: For adhesiolysis or uterine septum resection
Biopsy Forceps: For directed endometrial sampling
Bipolar Electrodes/Loops: For ablative procedures like submucosal fibroid resection or endometrial ablation
Each instrument is demonstrated under direct vision, emphasizing smooth insertion, controlled movement, and gentle tissue handling.
Key Learning Points in the Video
How to assemble and prepare the hysteroscopic system
Proper patient positioning and cervical access technique
Managing uterine distension for optimal visibility
Inserting and controlling operative instruments safely
Tips to avoid complications such as uterine perforation or fluid overload
Maintaining sterility and post-procedure care
Applications in Clinical Practice
This demonstration is highly relevant for procedures including:
Evaluation of abnormal uterine bleeding
Endometrial polyp and fibroid removal
Intrauterine adhesiolysis (Asherman’s syndrome)
Septum resection in congenital anomalies
Directed biopsy for infertility workup or suspected malignancy
Conclusion
Understanding and mastering the use of hysteroscopic instruments is a foundational skill for any gynecologic surgeon. This video offers a complete visual guide to the tools and techniques that make hysteroscopy a safe, effective, and minimally invasive procedure. Whether you're in training or refining your technique, this demonstration will help you approach intrauterine procedures with greater confidence and precision.
Watch the full video for detailed instrument handling, real-time demonstrations, and expert tips.
Don’t forget to like, comment, and subscribe to stay updated with more high-quality surgical education content from World Laparoscopy Hospital.
Essential Instruments Featured in the Video
Hysteroscope (Telescope):
The video begins with an overview of the rigid 2.9 mm and 4 mm hysteroscopes used for clear visualization of the uterine cavity. We demonstrate proper handling, connection to the camera system, and adjustment of focus and light intensity.
Outer Sheath with Inflow and Outflow Channels:
The hysteroscope is inserted through a dedicated sheath that facilitates continuous uterine distension using normal saline or glycine, depending on the energy system used (bipolar vs. monopolar). The demonstration shows how to connect tubing, regulate pressure, and maintain a clear view throughout the procedure.
Obturator:
Used to guide initial entry, especially in narrow or stenotic cervical canals, the obturator is inserted along with the sheath and removed once the hysteroscope is safely inside the uterine cavity.
Operative Instruments:
We showcase the use of various miniaturized tools introduced through the working channel of the operative sheath, including:
Graspers: For polyp or foreign body retrieval
Scissors: For adhesiolysis or uterine septum resection
Biopsy Forceps: For directed endometrial sampling
Bipolar Electrodes/Loops: For ablative procedures like submucosal fibroid resection or endometrial ablation
Each instrument is demonstrated under direct vision, emphasizing smooth insertion, controlled movement, and gentle tissue handling.
Key Learning Points in the Video
How to assemble and prepare the hysteroscopic system
Proper patient positioning and cervical access technique
Managing uterine distension for optimal visibility
Inserting and controlling operative instruments safely
Tips to avoid complications such as uterine perforation or fluid overload
Maintaining sterility and post-procedure care
Applications in Clinical Practice
This demonstration is highly relevant for procedures including:
Evaluation of abnormal uterine bleeding
Endometrial polyp and fibroid removal
Intrauterine adhesiolysis (Asherman’s syndrome)
Septum resection in congenital anomalies
Directed biopsy for infertility workup or suspected malignancy
Conclusion
Understanding and mastering the use of hysteroscopic instruments is a foundational skill for any gynecologic surgeon. This video offers a complete visual guide to the tools and techniques that make hysteroscopy a safe, effective, and minimally invasive procedure. Whether you're in training or refining your technique, this demonstration will help you approach intrauterine procedures with greater confidence and precision.
Watch the full video for detailed instrument handling, real-time demonstrations, and expert tips.
Don’t forget to like, comment, and subscribe to stay updated with more high-quality surgical education content from World Laparoscopy Hospital.
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