In conventional surgery for uterine lesions, women often face the great pain of open abdominal surgery, with long hospital stays and relatively high pain and risk.
With the rapid development of urological procedures in the 20th century, obstetrics and gynecology made a technological leap.
In Gynecology conditions such as uterine lesions – intrauterine fibroids, endometrial polyps, uterine malformations, intrauterine adhesions and intrauterine foreign bodies (e.g. IUDs) – are all treated with a hysteroscopic resectoscope.
This means the hysteroscopic resectoscope has a wide range of uses: most intrauterine conditions require a hysteroscopic resectoscope。
Hysteroscopic resection
hysteroscopic resectoscope has the clear advantage that the instrument is small and slim enough to be inserted through the cervix for delicate surgery. A high-quality hysteroscopic resectoscope also reduces cervical dilatation and the damage surgery causes to the cervix.
Outcomes are as good as with conventional open surgery, and resectoscopic surgery may well be preferable.
Not every patient with uterine lesions is suitable for hysteroscopic resection, however. Cases including, but not limited to, cervical lacerations, a uterus that cannot be dilated normally, excessive uterine curvature, a resectoscope that cannot reach the fundus, acute genital tract infection and acute heart, liver or kidney failure are contraindications for
- , transcervical endometrial resection and
- hysteroscopic polypectomy
, so a hysteroscopic resectoscope cannot be used. Patients with fibroids for whom surgery can only relieve bleeding, rather than fully prevent recurrence, are also not suitable.
For patients with very large fibroids (as judged by the attending physician), the operation may take too long, increasing the risk of complications, so some physicians do not recommend hysteroscopic resection.
Hysteroscopic adhesiolysis, septum resection and other procedures can also be performed with a hysteroscopic resectoscope instead of conventional open surgery.
Miniaturization of the hysteroscopic resectoscope
We know that the quality and feel of a hysteroscopic resectoscope directly affect the course of surgery.
Richard Wolf instrument sets and system solutions are tailored to modern hysteroscopic diagnostic and therapeutic procedures. Miniaturization of the instruments has been an important milestone in their development.
PRINCESS Resectoscope offers a major advantage: monopolar or bipolar resection as the user prefers. A range of electrodes is available for both.
For bipolar vaporization, special electrode tips have been developed. Their optimized surface geometry uses concentrated high-energy plasma for fast, efficient tissue vaporization with almost no blood loss.
Because the tissue is vaporized, no tissue chips float in the distension medium.
The bipolar vaporization electrode "BIVAP" is ideal for endometrial ablation and fibroid treatment, where the minimal space requirements of the 7 mm PRINCESS system also come into their own.
Medical instruments and equipment from Richard Wolf
Beyond the strict demands laparoscopic surgery places on surgeons, the special instruments it relies on are also very important: their quality, safety design and ease of use must all be of a high standard to ensure success.
Richard Wolf provides medical equipment and instruments for minimally invasive surgery that combine innovation and quality. Since 1906 the company has been dedicated to advancing medicine and technology, and its craftsmanship and quality are recognized throughout the medical world.
Richard Wolf is also a full-range supplier in urology with an exceptionally broad product portfolio.
For more details, visit: www.richard-wolf.cn/en/disciplines/gynecology/ to learn more about hysteroscopic resectoscope instruments and equipment. You are also welcome to contact us directly. For our locations in China, please visit:www.richard-wolf.cn/en/contact/sales-and-service-network/.
For hysteroscopic resection, Richard Wolf offers gynecologists worldwide advanced instruments and equipment, including:
